Inovalon was founded in 1998 on the belief that technology, and data specifically, would empower the transformation of the entire healthcare ecosystem for the better, improving both outcomes and economics. At Inovalon, we believe that when our customers are successful in their missions, healthcare improves. Therefore, we focus on empowering them with data-driven solutions. And the momentum is building.Together, as ONE Inovalon, we are a united force delivering solutions that address healthcare’s greatest needs. Through our mission-based culture of inclusion and innovation, our organization brings value not just to our customers, but to the millions of patients and members they serve.
Overview
The Product Owner is responsible for establishing deep product expertise from both a technical and market perspective — understanding buyer and user personas, value proposition, benefits, features, and functionality, competitive landscape, architecture, code base, and technical components.This individual will bring a strong understanding of
value-based care (VBC) models
, including
provider contracting, payment methodologies (capitation, shared savings, bundled payments, pay-for-performance, quality incentives)
, and how
health plans and providers operationalize these models through technology
.The Product Owner collaborates closely with product managers, scrum masters, and development managers to leverage Agile processes and tools that support product requirements, sprint reviews, backlog refinement, sprint planning, retrospectives, and backlog/ticket creation. This role partners closely with product managers to review product roadmaps and drive prioritization of work accordingly.This position requires prior experience with
software-as-a-service (SaaS)
delivery models and an ability to translate
healthcare domain knowledge into actionable system requirements
.
Duties And Responsibilities
- Adopt and role model Agile behaviors while building an inclusive team culture.
- Drive collaboration across internal stakeholders—including product, engineering, corporate development, and marketing—to ensure timely execution and delivery of products to market.
- Collaborate with clinical, financial, and network management stakeholders to define requirements that align with value-based care payment models and contracting workflows.
- Define and refine features that support value-based payment modules, attribution logic, provider incentive tracking, risk adjustment, and quality measure reporting.
- Engage with internal and external stakeholders (health plans, provider groups, and vendor partners) to inform product and feature design that aligns with real-world VBC operations.
- Develop detailed business requirements that meet the needs of internal and external stakeholders and support corporate objectives.
- Analyze existing systems, identify gaps in data flow and integration between payment, quality, and risk systems, and model enhancements that improve automation and accuracy of financial outcomes.
- Oversee the design, prioritization, and delivery of VBC features across the product lifecycle—from concept to testing, deployment, and value realization.
- Perform validation and user acceptance testing for financial and operational workflows, collaborating closely with engineering and QA to ensure accuracy in incentive and payment logic.
- Serve as a subject matter expert (SME) on VBC terminology, including but not limited to: quality measures, contract performance metrics, shared savings distribution, and RAF or utilization-based incentive programs.
- Analyze the impact of proposed solutions on connected systems such as claims ingestion, risk adjustment, quality, or care management modules.
- Support the development of multi-year product roadmaps that align with emerging VBC trends and CMS payment model updates.
- Demonstrate strong knowledge of healthcare product management and value-based reimbursement to translate needs into user stories and technical requirements.
- Display effective time management across complex and overlapping projects while maintaining transparency with stakeholders.
Job Requirements
- Minimum 3+ years of experience in healthcare product management, business analysis, or operations with exposure to value-based care, payment methodologies, or provider contracting systems.
- Working knowledge of provider reimbursement models, including capitation, bundled payments, shared savings, and quality incentive programs.
- Familiarity with risk adjustment, quality measurement (HEDIS, Stars, AHRQ), attribution models, and provider incentive frameworks.
- Understanding of how payers and providers use analytics and software platforms to manage performance, track outcomes, and drive payment alignment.
- Agile / SCRUM experience and/or certification.
- Excellent interpersonal, written, and oral communication skills.
- Strong business acumen with the ability to connect financial concepts to product capabilities.
- Comfortable gathering feedback from diverse stakeholders, including business, clinical, and technical users.
- Experience working in a fast-paced, high-growth environment.
- Proficiency in Microsoft Office tools (Word, Excel, PowerPoint) required; familiarity with analytics or BI tools (Power BI, Tableau) preferred.
Education
Bachelor’s Degree required; preference for degrees in
Health Administration, Business, Information Systems, or a related field.
Master’s Degree or certifications in
Healthcare Management or Value-Based Care frameworks
are a plus.
Physical Demands and Work Environment:
- Sedentary work (i.e., sitting for long periods of time);
- Exerting up to 10 pounds of force occasionally and/or negligible amount of force;
- Frequently or constantly to lift, carry push, pull or otherwise move objects and repetitive motions;
- Subject to inside environmental conditions; and
- Travel for this position will include up to 10%.
This position is not eligible for immigration sponsorship (e.g. H-1B, TN, or E-3). Applicants must be authorized to work in the United States as a condition of employment. (This is only applicable for US-based positions)
If you don’t meet every qualification listed but are excited about our mission and the work described, we encourage you to apply. Inovalon is most interested in finding the best candidate for the job, and you may be just the right person for this or other roles.
By embracing inclusion, we enhance our work environment and drive business success. Inovalon strives to provide equal opportunities to the communities where we operate and to our clients and everyone whom we serve. We endeavor to create a culture of inclusion in which our associates feel empowered to bring their full, authentic selves to work and pursue their professional goals in an equitable setting. We understand that by fostering this type of culture, and welcoming different perspectives, we generate innovation and growth.
Inovalon is proud to be an equal opportunity workplace. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirement.
To review the legal requirements, including all labor law posters, please visit this link
To review the California Consumer Privacy Statement: Disclosures for California Residents, please visit this link
