Sr Product Owner, State & Payer Solutions (Product Owner III) REMOTE
Pittsburgh, PA - USA
Job Summary
About Net Healthââ
Belong. Thrive. Make a Difference.ââ
Are you looking for a meaningful and satisfying career where you have endless opportunities to grow and be financially rewarded Net Health may be the perfect place for you.âââ
A high-growthâand profitable company we help caregivers harness data for human health.âWeâalsoâhonor and respect the needs of our Net Health family and staffâwhich is why weâoffer aâwork-from-anywhere environment and unlimited PTO.âOurâwelcomingâand collaborativeâcultureâpaired with progressive benefits makesâNet Healthâthe ultimate career home!â
As a leading-edgeâSaaSâcompany in healthcare we deliver solutions that help patients get better faster and liveâmore fulfilling lives. Our software and predictive analytics coverâtheâcontinuum of care fromâhospital-to-home across various medical specialties. Come join us andâstart the next chapter of your exciting careerâwhile helping othersâtoâlive better lives.ââ
World-Class Benefits That Reflect Our World-ClassâCulture.â
Click Here to Learn More!:â
#WorkFromAnywhereâ#UnlimitedPTOâ#ComprehensiveBenefitsPackageâ#EmployeeResourceGroups #CasualDressCode #PrioritizedEmployeeWellnessâ#DiversityAndInclusionâ#AVoiceâ#NewHireSupportâ#CareerDevelopment #EducationalAssistance #EmployeeReferralBonusâ#ProgressiveParentalLeaveââââ
JOB OVERVIEW
The Senior Product Owner State & Payer Solutions is a senior individual contributor within the Value-Based Care Solutions (VBCS) organization who owns both product ownership and business analysis for software analytics and reporting solutions supporting State Medicaid Agencies health plans and provider organizations in value-based care programs. This role combines Agile Product Ownership with senior business analysis and deep healthcare payer domain expertise spanning Medicaid policy quality measurement (HEDIS CMS Core Sets) and value-based payment models serving as the business owner for assigned products from requirements through delivery.
The Senior Product Owner works closely with Product Management Engineering Data Science Client Success and external stakeholders to define solution requirements prioritize development validate deliverables and ensure products meet business objectives and client needs.
RESPONSIBILITIES AND DUTIES
- Product & Solution Leadership: In partnership with Product Management execute the strategic roadmap for State & Payer Solutions products and capabilities.
- Maintain deep expertise in healthcare payer operations value-based care quality measurement healthcare data and regulatory requirements.
- Translate market needs client feedback regulatory changes and business strategy into product capabilities and development priorities.
- Identify opportunities to improve workflow automation reporting interoperability and user experience.
- Participate in industry thought leadership client advisory activities conferences and product demonstrations.
- Support Sales with product expertise demonstrations RFP responses Statements of Work and solution design.
- Product Ownership & Business Analysis: Own the Agile delivery lifecycle and lead business analysis for assigned software and analytics initiatives.
- Own and prioritize multiple product backlogs; define Epics Features User
- Stories Acceptance Criteria and business rules.
- Conduct discovery sessions with internal stakeholders clients state agencies and health plans; analyze operational workflows payment methodologies and business processes.
- Translate business regulatory policy and operational requirements into detailed functional specifications workflow diagrams and data mapping.
- Lead backlog refinement sprint planning and sprint acceptance; accept or reject completed work against established acceptance criteria.
- Validate delivered functionality against business requirements and operational outcomes; identify opportunities for process improvement.
- Manage cross-team dependencies and competing priorities across multiple initiatives.
- Analytics & Data Science Partnership: Serve as the primary liaison between Product Management and the Data Science organization.
- Define business requirements for analytics dashboards performance reporting and data products.
- Collaborate on implementation of quality measures payment methodologies benchmarking predictive analytics and performance measurement.
- Translate business and regulatory requirements into analytical specifications.
- Validate methodologies calculations reporting outputs and business logic.
- Partner with Data Science to ensure analytical deliverables satisfy contractual regulatory and client requirements.
- Develop and maintain business documentation supporting analytical methodologies and reporting specifications.
- Cross-Functional Leadership: Build partnerships across the organization to ensure successful delivery.
- Collaborate across Engineering QA Product Management Data Science Client Success Sales Marketing Compliance and Executive Leadership to communicate priorities risks dependencies and timelines and facilitate decision-making.
- Mentor Product Owners and Business Analysts by sharing best practices and domain expertise.
- Contribute to continuous improvement of Agile delivery business analysis and product management processes.
QUALIFICATIONS
- Bachelors degree in Healthcare Administration Business Administration Information Systems Computer Science Nursing Public Health or related field; or equivalent combination of education and experience.
- 4 years of experience serving as both a Product Owner and Business Analyst (or equivalent blended role) in Product Management Business Analysis Healthcare Consulting or related healthcare technology roles with demonstrated success on complex software development initiatives.
- Strong understanding of Agile methodologies Scrum practices and software development lifecycles.
- Experience defining functional requirements user stories acceptance criteria workflows and business rules.
Preferred:
- Experience working with State Medicaid Agencies Medicaid Managed Care Organizations (MCOs) other health plans or healthcare technology vendors serving the payer market.
- Experience with healthcare consulting firms supporting payer or government healthcare programs.
- Experience translating healthcare policy payment methodologies quality programs and business/operational requirements into software and analytical solutions.
- Experience partnering with Data Science Business Intelligence or Analytics teams to define business requirements and validate analytical deliverables.
- Knowledge of HEDIS CMS Adult and Child Core Sets quality measurement value-based payment healthcare interoperability and healthcare data standards.
- Product Owner certification (CSPO PSPO SAFe POPM or equivalent) preferred.
REQUIRED SOFTWARE EXPERIENCE
- Jira Confluence Azure DevOps or equivalent Agile product management tools
- Business Intelligence platforms (Power BI Tableau Sisense or similar)
- SQL or equivalent data query experience preferred
- Microsoft 365 (Word Excel PowerPoint Outlook)
- AI tool experience (any platform); willing to adopt company-designated tools as they evolve
- Healthcare analytics reporting or data warehouse environments preferred
Note: This job description is not intended to be all-inclusive. Employees may perform other related duties as requested to meet the ongoing needs of the organization.
Salary Range: $103200.00- $129000.00 USD
A word on Al-assisted candidate fraud & deepfakes: Our company maintains a zero-tolerance policy for the use of Al tools to misrepresent a candidates skills experience or qualifications during the hiring process. We utilize advanced screening methods to detect such practices and reserve the right to disqualify and report candidates who violate this policy.
Required Experience:
Senior IC
About Company
Net Health offers specialized healthcare software solutions – from EHR software to advanced analytics – all built to enhance patient outcomes.