TELECOMMUTE Product Owner - Healthcare Capitation

• Own and prioritize the product backlog for healthcare capitation systems.
• Gather and translate business requirements into Epics, User Stories, and Acceptance Criteria.
• Collaborate with Finance, Provider Network, Actuarial, Business, and Engineering teams.
• Lead Agile ceremonies including Sprint Planning, Backlog Refinement, Sprint Reviews, and Retrospectives.
• Define and lead UAT strategy, testing, defect management, and production sign-off.
• Work with stakeholders to ensure healthcare capitation solutions meet business and contractual requirements.
• Ensure compliance with CMS, Medicare, Medicaid, and provider contract requirements.
• Analyze payment accuracy, reconciliation, and disbursement processes.
• Identify process improvements and monitor relevant KPIs.
• Communicate project status, risks, dependencies, and delivery updates to stakeholders.

We are seeking an experienced Product Owner with strong Healthcare Capitation experience to lead Agile product development initiatives within the healthcare/managed care domain.

The ideal candidate will have hands-on experience with healthcare capitation processes, provider assignments, payment calculations, reconciliation, and disbursement, along with strong Product Owner/Business Analyst experience in an Agile environment., * 5+ years of experience as a Product Owner, Business Analyst, or similar role in an Agile environment.

• Strong hands-on experience with Healthcare Capitation within Health Plans, Managed Care, or Health Insurance organizations.
• Experience with provider assignments, capitation payment calculations, reconciliation, and disbursement.
• Strong understanding of healthcare/managed care business processes.
• Experience working closely with business stakeholders and technical teams.
• Proven experience leading UAT, defect management, and production sign-off.
• Strong communication, analytical, problem-solving, and stakeholder management skills.

Preferred Skills

• Healthcare Domain / Managed Care
• Healthcare Capitation
• Health Insurance
• CMS
• Medicare / Medicaid
• Agile / Scrum
• Product Backlog Management
• Jira
• Confluence
• SQL
• UAT
• Defect Management
• Payment Reconciliation
• Provider Contract Management, Candidates with experience as a Healthcare Product Owner, Healthcare Business Analyst, Capitation Business Analyst, Managed Care Product Owner, or Healthcare Product Manager are encouraged to apply.