Agile Product Owner

We are seeking an experienced Agile Product Owner to drive our Provider Transformation track - a strategic, multi-year initiative to modernize and streamline provider-facing systems and processes across enrollment, credentialing, contracting, network management, and provider data. This role owns the product backlog for one or more workstreams within the Provider Transformation program and is accountable for translating the transformation roadmap into executable, sequenced Agile delivery. Direct working knowledge of health plan provider ecosystems is essential, as this role requires evaluating current-state provider workflows, identifying pain points, and defining the future-state product vision in partnership with business, clinical, and technical stakeholders across the transformation program.

• 5+ years of experience as a Product Owner, Business Analyst, or similar role within an Agile/Scrum environment.
• Experience supporting a large-scale business or technology transformation initiative, including current-state/future-state analysis, phased roadmap planning, and managing dependencies across multiple workstreams.
• Demonstrated knowledge of health plan provider operations - provider enrollment, credentialing, contracting, network management, and/or provider data management (Health Net or comparable managed care/health plan experience strongly preferred).
• Solid understanding of healthcare industry standards and regulations affecting provider networks (CMS, state Medicaid/Medicare requirements, NCQA, HIPAA).
• Proven experience writing user stories, acceptance criteria, and managing a product backlog in tools such as Jira, Azure DevOps, or Rally.
• Strong facilitation and stakeholder management skills, with the ability to work across business, clinical, and technical teams.
• Excellent verbal and written communication skills, including experience presenting roadmaps and priorities to leadership.
• Certified Scrum Product Owner (CSPO) or equivalent Agile certification preferred.
• Bachelor’s degree in Business, Health Administration, Information Systems, or a related field, or equivalent experience., * Direct experience working with or for a health plan provider network
• Familiarity with provider data management systems, credentialing platforms , and claims adjudication systems.
• Experience with EDI healthcare transaction standards (834, 835, 837) and provider directory accuracy regulations (e.g., CMS provider directory rules).
• Experience working in a regulated, compliance-driven environment.
• Prior experience as a Product Owner or Business Analyst on a formal transformation, modernization, or system migration program (e.g., legacy platform replacement, process re-engineering, or M&A integration).

• Own and prioritize the product backlog for the Provider Transformation track, translating program-level transformation goals into clear, actionable epics, features, user stories, and acceptance criteria.
• Act as the primary voice of provider network and business stakeholders within the Agile team, ensuring delivery stays aligned to the Provider Transformation program’s roadmap and intended business outcomes.
• Partner with the Transformation Program Manager, Business Analysts, Scrum Masters, and Engineering leads to sequence releases, manage cross-workstream dependencies, and plan sprints within the broader transformation timeline.
• Lead and participate in Agile ceremonies - sprint planning, backlog refinement, sprint review, and retrospectives - for the Provider Transformation workstream.
• Define and communicate the product vision and phased roadmap for transforming provider enrollment, credentialing, contracting, and network management capabilities from current-state to future-state.
• Assess current-state provider workflows and systems, identify pain points and inefficiencies, and translate findings into transformation requirements and business cases.
• Ensure solutions comply with health plan regulatory requirements (e.g., CMS, state Medicaid/Medicare, NCQA credentialing standards) and payer-provider data standards (e.g., 834/835/837 EDI transactions where applicable).
• Collaborate with Provider Network Operations, Claims, Credentialing, Configuration, and other transformation workstream owners to align priorities and manage interdependencies across the program.
• Define and track transformation success metrics and KPIs (e.g., provider data accuracy, credentialing turnaround time, directory accuracy, process cycle-time reduction) to demonstrate progress against the transformation business case.
• Support change management and stakeholder communication as legacy provider processes and systems are retired or migrated to future-state solutions.
• Manage stakeholder expectations, resolve competing priorities across workstreams, and communicate trade-offs and risks clearly to program and executive leadership.
• Support UAT planning and execution, and validate that delivered features meet the defined business value and acceptance criteria before cutover or go-live.