> Markdown version of [/jobs/ext/1805212-lead-healthcare-product-owner](https://www.wearedevelopers.com/jobs/ext/1805212-lead-healthcare-product-owner). Every page supports `.md` or `Accept: text/markdown`. Links point to the HTML versions so they work for humans too. Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Lead Healthcare Product Owner - **Company:** System One - **Location:** Baltimore, MD, United States (Remote available) - **Experience:** Expert - **Salary:** $149,760.0 - **Contract:** Temporary to permanent - **Skills:** Health Informatics, Systems Analysis, Enterprise Integration - **Published:** July 8, 2026 - **Apply:** https://dejobs.org/x/x/04A1F0FC9D104967AC663702C0804BFE/job/ ## About the Role * Deep end-to-end Prior Authorization expertise (not just general "healthcare IT"). * 15+ years in payer operations / healthcare delivery / utilization management / PA programs. * 8-10+ years operating as a Product Owner (or equivalent end-to-end product delivery lead) in a payer/healthcare environment. * Proven ability to lead large, cross-functional, multi-workstream initiatives and drive outcomes to closure. * Strong skills in requirements, stakeholder management, process/systems analysis, issue management, and executive-ready communication. Systems / Workflow Knowledge (must be able to speak to the flow end-to-end) * FACETS: working knowledge of claims-to-operations "matching" and how PA/claims flow connects downstream (this is emphasized as critical). * GuidingCare: working knowledge, especially what happens after the authorization leaves GuidingCare. * EDI 278 experience/knowledge. Nice-to-Haves (Preferred) * MBA (Bachelor's required or equivalent additional relevant experience). * Prior experience helping drive a "task force" / stabilization effort where there are ongoing errors and high-visibility corrective actions. Education * Bachelor's degree in Business Administration/Management/Finance (or related) or equivalent experience * MBA preferred Quick "Must-Have Keywords" (for screening/search) Prior Authorization (PA) | Utilization Management | Product Owner | Business Integration | FACETS | Claims matching | GuidingCare | EDI 278 | UAT | Requirements | User stories | Acceptance criteria ## Description We're looking for a Lead Product Owner / Business Integration Lead to stabilize and improve end-to-end Prior Authorization (PA) operations and the supporting technology/process integrations. This is a true hybrid role (Product Owner + Business Integration Lead) focused on fixing real breakdowns in the PA-to-claims flow-identifying failure points, driving corrective action, and delivering improvements that impact accuracy, turnaround time, and provider experience. This role is ideal for someone who has deep payer-side PA domain expertise and can confidently partner across clinical, IT, claims, and operations to drive solutions through to completion. Must-have systems/standards: * FACETS (including claims-to-operations "matching") * GuidingCare (especially downstream workflow after the authorization leaves GuidingCare) * EDI 278 What you'll do (Day-to-day) * Own end-to-end Prior Authorization (PA) program delivery across clinical, technical, and operational teams. * Lead requirements work: gather, document, validate, and manage functional/non-functional requirements, translating them into user stories and acceptance criteria. * Drive cross-functional execution across multiple workstreams: stakeholder workshops, design reviews, issue triage, and delivery planning. * Identify and resolve breakdowns/errors in the PA/claims process-pinpoint fail points and implement fixes/workarounds with clinical + IT teams. * Lead UAT planning and execution: test plans, defect documentation, coordination of fixes, and release readiness. * Track and improve PA performance metrics (e.g., turnaround time, denials, provider friction, auto-decision rates). * Support change communications/training and provide guidance to other analysts. ## Related Videos - [Would You Buy Your Own HR? 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