> Markdown version of [/jobs/ext/2284634-senior-product-manager-medicare-claims-systems-sme](https://www.wearedevelopers.com/jobs/ext/2284634-senior-product-manager-medicare-claims-systems-sme). 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). --- # Senior Product Manager - Medicare Claims Systems SME - **Company:** Tria Federal - **Location:** Arlington, VA, United States (Remote available) - **Experience:** Expert - **Contract:** Permanent contract - **Skills:** Agile Methodology, Health Informatics, Business Process Modeling, Scrum Methodology, Program Analysis, Scaled Agile Framework, Atlassian Tools - **Published:** August 28, 2026 - **Apply:** https://www.clearancejobs.com/jobs/9123299/senior-product-manager-medicare-claims-systems-sme ## About the Role * Ability to obtain a U.S. Federal Position of Trust clearance. * Must reside in and perform work in the United States and must have lived in the United States for three of the last five years. * Bachelor's degree. * 10+ years of combined experience across healthcare IT, Medicare or Medicaid programs, or CMS regulatory compliance. * 5+ years as a product owner, product manager, or business analyst in Agile software delivery, working with sprint teams and tools such as Jira and Confluence to capture requirements and develop business process models. * 3+ years with direct experience in Medicare or Medicaid claims processing or CMS shared systems. Additional Qualifications * Certified in a product owner or product manager Agile credential (for example SAFe POPM, CSPO, or PSPO) and experience operating within the Scaled Agile Framework (SAFe), including PI Planning. * Experience translating complex federal regulations and CMS business requirements into user stories with clear acceptance criteria. * Ability to analyze business processes, evaluate system and downstream impacts, identify gaps, and recommend improvements. * Strong oral and written communication, with the ability to document complex problems simply and clearly. * Experience developing Change Requests and working within change control processes. * Experience interpreting CMS guidance and HPMS memoranda and translating complex Medicare regulations into operational requirements, policies, and procedures. * Familiarity with CMS shared systems and Medicare claims processing environments, including mainframe-based systems, is a plus., Many of our roles require the hired candidate to go through public trust clearance. A minimum of 3 years of stay in the U.S. within the last 5 years is required to be eligible to qualify for public trust clearance sponsorship. ## Description Tria is seeking a Senior Product Manager and Medicare Claims Systems SME to support the Centers for Medicare & Medicaid Services (CMS) system that maintains Medicare beneficiary entitlement and utilization data and validates fee-for-service claims. The Senior Product Manager translates CMS business and regulatory requirements into clear product requirements and user stories, manages the product backlog with the Product Owner and CMS stakeholders, and guides an Agile team to deliver Change Requests and problem fixes within CMS's established release calendar. This role sits on a collaborative, Agile team maintaining a mission-critical Medicare claims processing system., * Maintain the product backlog with the Product Owner, the COR, and end users, capturing CMS requirements as user stories with robust acceptance criteria. * Maintain and enhance the product roadmap and collaborate with CMS on prioritization and capacity planning. * Work with the Agile team through backlog refinement, sprint planning, and PI Planning to align development and testing with CMS business needs and the release calendar. * Become an expert in CMS regulations, policies, and the CWF system, and conduct policy and program analysis to develop and adapt business requirements. * Evaluate system and downstream impacts of Change Requests, provide high-level business requirements, and support estimation. * Work with the sprint team to implement and accept user stories, validate completed work against the definition of done, and support release readiness. * Develop Change Requests and supporting Agile documentation and oversee related quality assurance activities. * Proactively surface risks, dependencies, and competing priorities, coordinating with stakeholders to support quality and timely delivery. ## Related Videos - [ShapeShift: Reinventing Agile for a B2B SaaS Scale-Up](https://www.wearedevelopers.com/videos/1655-shapeshift-reinventing-agile-for-a-b2b-saas-scale-up) - [RPA in the Public Sector](https://www.wearedevelopers.com/videos/86-rpa-in-the-public-sector) - [Measuring Project Health in Open Source](https://www.wearedevelopers.com/videos/300-measuring-project-health-in-open-source) - [The Future of Developer Experience with GenAI: Driving Engineering Excellence](https://www.wearedevelopers.com/videos/1107-the-future-of-developer-experience-with-genai-driving-engineering-excellence) - [Security Pitfalls for Software Engineers](https://www.wearedevelopers.com/videos/726-security-pitfalls-for-software-engineers) - [From Punch Cards to AI-assisted Development](https://www.wearedevelopers.com/videos/611-from-punch-cards-to-ai-assisted-development) ## Related Articles - [The Biggest German Tech Companies](https://www.wearedevelopers.com/magazine/424-the-biggest-german-tech-companies) - [The Best Job Search Websites of 2025](https://www.wearedevelopers.com/magazine/368-the-best-job-search-websites-of-2025) - [Jobs in Germany for Americans](https://www.wearedevelopers.com/magazine/423-jobs-in-germany-for-americans) - [Best Paying Remote Jobs](https://www.wearedevelopers.com/magazine/255-best-paying-remote-jobs) - [How We Built a Worry-Free System That Runs for 10+ Years – And What We’d Do Again](https://www.wearedevelopers.com/magazine/751-how-we-built-a-worry-free-system-that-runs-for-10-years-and-what-we-d-do-again) - [Fully Remote Software Engineer Jobs](https://www.wearedevelopers.com/magazine/447-fully-remote-software-engineer-jobs)