Business Product Manager US Healthcare Payer
- UST
- 10 - 20 years
- Kochi
- 1 month ago
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Job Description
Roles and Responsibilities:
1. Product Strategy and Vision
- Define and drive product strategy for CAS integration focusing on enrollment, claims, and payment functions.
- Align product vision with organizational objectives and regulatory requirements (HIPAA, CMS).
- Conduct market and competitor analysis to inform product direction and enhancements.
- Identify opportunities for innovation and process optimization within payer workflows.
2. Stakeholder Management
- Serve as a key liaison between business, IT teams, and external vendors to align integration goals.
- Facilitate communication between stakeholders to define product requirements and share updates.
3. Requirements Gathering and Analysis
- Work with business analysts, product owners, and architects to gather, analyze, and document requirements.
- Prioritize product features based on business needs, customer feedback, and technical feasibility.
4. Roadmap and Agile Execution
- Lead PI (Program Increment) planning sessions in accordance with SAFe (Scaled Agile Framework).
- Develop and maintain product roadmaps aligned with Agile delivery cycles and integration milestones.
- Collaborate with project managers to track progress, allocate resources, and resolve dependencies.
5. Cross-Functional Collaboration
- Partner with technical teams to design and implement integration solutions.
- Support QA teams in test planning and performance validation of integrated systems.
6. Compliance and Risk Management
- Ensure all integration solutions comply with regulatory standards like HIPAA.
- Regularly report on performance, risk, and compliance metrics to stakeholders.
Must-Have Skills:
- 5+ years of experience in product management or business analysis in the US Healthcare payer domain.
- Strong domain expertise in Core Administration Systems, specifically in enrollment, claims, and payments.
- Knowledge of EDI, HL7, and API integration standards.
- Hands-on experience with Agile methodologies and SAFe framework.
- Strong communication and stakeholder management skills.
- Proven experience in roadmap planning, PI planning, and requirements documentation.
- Deep understanding of healthcare regulations including HIPAA.
Good-to-Have Skills:
- Experience with specific Core Admin platforms like Facets, QNXT, HealthRules.
- Masters degree in Healthcare Management, Business Administration, or Information Technology.
- Familiarity with CMS compliance guidelines.
- Ability to manage multiple concurrent projects in a fast-paced environment.
- Proficiency in tools like JIRA, Confluence, and Productboard.
Job Classification
Industry: IT Services & ConsultingFunctional Area / Department: Product ManagementRole Category: Product Management - TechnologyRole: Product ManagerEmployement Type: Full timeContact Details:
Company: USTLocation(s): Kochi
Keyskills: US Healthcare Payer Domain Product Strategy Product Management API Integration SAFe Framework EDI Agile Methodology HL7 Requirements Gathering Confluence Enrollment Core Administration System Integration Claims Processing Payment Workflows Stakeholder Management
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