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Product Manager II

7 years

0 Lacs

chennai tamil nadu india

Posted:2 days ago| Platform: Linkedin logo

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Skills Required

vision enrollment billing discovery research cms engineering design data healthcare strategy support onboarding reporting processing invoicing reconciliation analysis drive planning agile management governance leadership metrics integration ux ui finance api compliance okrs strategies audit devops prototyping technology ai ml blockchain iot scrum jira development auto aws azure gcp certifications communication presentation empathy learning

Work Mode

On-site

Job Type

Full Time

Job Description

Role Description

Hiring Locations:

Chennai, Trivandrum, Kochi

Type:

Full-time

Role Description

The

Product Owner

will contribute to driving the product vision, roadmap, and backlog for the Enrollment and Billing product suites. This role requires strong product discovery, research, and execution capabilities, ensuring alignment with CMS requirements and industry best practices. The PO will partner with Product Managers, Engineering, Design, and Data Science teams to deliver scalable, compliant, and user-centric solutions across all Lines of Business in the healthcare domain.

Key Responsibilities

Product Strategy & Roadmap

  • Support the vision and roadmap for Enrollment & Billing suites (Enrollment: onboarding, eligibility, disenrollment, reinstatement, CMS reporting; Billing: claims processing, invoicing, EFT integrations, reconciliation dashboards).
  • Conduct market and competitor analysis, identify opportunities for differentiation, and drive adoption of best practices.
  • Draft user stories and epics with clear acceptance criteria; maintain alignment with CMS, HIPAA, and NCQA requirements.

Backlog & Release Planning

  • Own the product backlog; prioritize features, epics, and stories to ensure on-time delivery.
  • Facilitate sprint planning, backlog grooming, demos, and retrospectives with Agile teams.
  • Translate regulatory updates (CMS guidance, Medicaid requirements, HIPAA X12) into actionable backlog items.

Stakeholder Management & Governance

  • Act as the primary liaison for Health Plan leadership, vendor partners, delivery teams, and CMS auditors.
  • Present product metrics (enrollment turnaround, exception rates, invoice accuracy, payment timelines) and drive continuous improvement initiatives.

User Experience & Integration

  • Partner with UX/UI teams to design intuitive member, provider, and finance dashboards.
  • Define and oversee API and data interfaces with claims, PBM, clearinghouses, and payment systems.

Compliance, Quality & Delivery

  • Ensure adherence to product OKRs, roll-out timelines, and quality benchmarks.
  • Drive QA and compliance strategies, ensuring audit readiness and zero critical vulnerabilities.
  • Promote DevOps and CI/CD best practices for incremental, high-value delivery.

Research & Innovation

  • Perform user, market, and competitive research to inform product discovery and differentiation.
  • Co-facilitate discovery sprints and support prototyping/POCs to mitigate feasibility risks.
  • Keep abreast with technology trends (AI/ML, Blockchain, IoT) and explore innovative applications in product management.

Mandatory Skills

  • 7+ years of experience as a Product Owner or Senior Business Analyst with ownership of US healthcare Enrollment and/or Billing products.
  • Strong expertise in EDI engines (834, 270/271, 835, 820, 277) and DTRR-driven reconciliation.
  • Proven track record with premium billing workflows, claims processing, and reconciliation.
  • Hands-on experience with Agile/Scrum, backlog management tools (Jira, Aha), and sprint planning.
  • Strong domain expertise in US Healthcare (Medicare, Medicaid, Commercial Plans).
  • Excellent knowledge of CMS requirements, HIPAA compliance, and NCQA standards.

Good-to-Have Skills

  • Experience in end-to-end product development in healthcare platforms.
  • Familiarity with auto-renewals, exchange connectors, AI-driven exception handling.
  • Knowledge of cloud platforms (AWS, Azure, GCP) and DevOps best practices.
  • Experience working in global delivery/offshore environments.
  • Healthcare certifications (e.g., AHIP, CHC) or Product certifications (CSPO/PSPO).

Soft Skills

  • Strong analytical and problem-solving mindset.
  • Excellent communication, presentation, and stakeholder management skills.
  • Ability to influence and collaborate across cross-functional teams.
  • Empathy, curiosity, and continuous learning orientation.
  • Organizational skills with attention to detail and execution focus.

Experience Range

  • 7–12 years overall experience in Product Management / Product Ownership.
  • Minimum 5 years in US Healthcare domain (Enrollment & Billing focus preferred).

Skills

Healthcare,Product Management,Project Management

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