Product Owner

Product Owner

Requirements

• Bachelor’s Degree or higher from an accredited university OR High School Diploma/GED or higher from an accredited institution and a minimum of 7 years of experience in the health payer, software, services, industry in lieu of the bachelor’s degree education requirement
• 4+ years product owner experience in healthcare software or healthcare services development life cycle experience

Responsibilities

• Leading, directing, prioritizing, and managing the design and development of Clinical and Economic Research outpatient payment classification development including outpatient Enhanced Ambulatory Patient Groups, Medicare Integrated Outpatient Code Editor, TriCare Outpatient Code Editor and Medicare Home Health grouping components to advance effective and efficient outpatient payment and utilization solutions and ensuring its meaningful integration into end user operations.
• Support business product owners driving EAPG, Medicare and TriCare public domain outpatient payment solutions across markets and products ensuring that top line revenue goals are met.
• Guide marketing and sales in understanding and communicating the value of the methodologies and enhancements to drive growth
• Advance and enhance solution impact and usability in improving payment accuracy and measure efficiency by users across payer, provider, government, business partner, and non-profit clients.
• Lead high-performing cross functional team to deliver on-time in full error free regulatory compliant maintenance, modifications and enhancements for CER outpatient payment classification with a focus on EAPGs, IOCE, TriCare OCE and Home Health solutions.
• Champion Scrum principles throughout the organization and consistently implement all aspects of Scrum across the department scrum teams. Working directly with the team ensuring that deliverable commitments are defined, road mapped, prioritized and met with clinically precise and accurate specifications, documentation and integration into our product solution.
• Collaborate with research team to develop approaches that combine the power of categorical models with big data to drive further refinement of our models enhancing our analytic abilities to express and summarize clinically relevant results of analyzing big data making results that much more understandable and actionable across the entire health system.
• Champion Scrum principles throughout the organization and consistently implement aspects of Scrum across the department scrum teams.
• Gaining a strong and broad understanding of the applicable healthcare landscape and outpatient payment classification solutions.

Preferred Qualifications

• Master’s degree in business, healthcare related field, healthcare policy, health economics, clinical informatics, ie MBA, MPH, MPP
• 4 years healthcare organization experience (e.g. government payer, provider, hospital, insurance company, health care consulting, software, research, services firm)
• Strong project management skills with an attention to details
• Strong knowledge of outpatient payment policy both within the US and Internationally.
• Experience of working with and/or within health systems, health plans, State Medicaid programs, Commercial payers, value-based care arrangements, Medicaid MCOs or international.
• Highly motivated person that can execute work independently to ensure the achievement of overall business unit objectives.
• History of strong presentation and writing skills on complex topics in a way that experts and non-experts will understand.
• Evidence of thought leadership demonstrated through speaking engagements, interviews, blogs, articles