Product Owner - Claims

About the role

Inovalon was founded in 1998 on the belief that technology and data 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.

Work Location: This position is designated as remote. However, employees who reside within a 40-mile radius of one of our office locations in Tampa, FL; Canonsburg, PA; or Bowie, MD will follow a hybrid work schedule and are expected to work in the office two days per week (Tuesdays and Wednesdays).

Responsibilities

• Establish deep product expertise from technical and market perspectives by understanding buyer and user personas, value proposition, benefits, features and functionality, competitive landscape, architecture, code base, and technical components.
• Collaborate closely with other product owners, product managers, scrum master(s), and development managers to leverage Agile processes and tools which support product requirements, sprint review, backlog refinement (grooming), sprint planning, retrospectives, and backlog/ticket creation.
• Partner with product managers to review product roadmaps and drive prioritization of work accordingly.
• Plan, prioritize, and maintain product feature backlog and development for a product.
• Own feature enhancements within the Claims prioritized backlog, drive sprint planning, backlog refinement, reviews, and retrospectives in partnership with engineering.
• Drive end-to-end claims processing capabilities and automation across all payer types (Medicare, Medicaid, and commercial), ensuring compliance with HIPAA and ICD-10 standards; leverage industry-standard formats (837 UB/1500) and rules engines to achieve high first-pass rates and minimize denials.
• Lead integration of Electronic Data Interchange (EDI) transactions and revenue cycle workflows to streamline claim submission, ERA reconciliation, and secondary claim handling; partner with engineering and payer teams to optimize automation, reduce administrative burden, and accelerate reimbursement cycles.
• Adopt and role model Agile behaviors while building an inclusive team culture.
• Drive strong collaboration across internal stakeholders including product, engineering, corporate development, and marketing to ensure timely execution and delivery of products to market.
• Engage with internal and external stakeholders to inform product and feature design to drive perspective, requirements, and prioritization of the backlog in line with the product vision and while communicating expectations to internal and external stakeholders.
• Develop detailed business requirements that meet the needs of internal and external stakeholders and support corporate objectives; analyze the current system or application, conceptualize and define operational problems, model and present recommended enhancements and modifications, and walk each new enhancement or modification through the development process, from planning and preparation to testing and implementation.
• Oversee the design, prioritization, and delivery of products through the software development lifecycle, from concept to testing, deployment, adoption and value realization.
• Perform validation and testing of solutions through managing and executing user acceptance plans, collaborating with the engineering team during user testing and complex validation sessions, and responding to technical and functional product questions raised by stakeholders, and reformulate solutions as necessary to ensure that the recommended solution is responsive to the data requirements.
• Analyze the impact of a proposed solution on connected processes, systems, and/or applications to determine the best course of action to achieve the desired outcome.
• Assist in the development of roadmaps and business strategy for assigned product or department.
• Demonstrate robust knowledge of the healthcare industry, product management, and software development to translate problems, needs, and opportunities into user stories.
• Display effective time management across complex and overlapping projects while supporting your team with schedule and priority management.
• Maintain compliance with Inovalon’s policies, procedures and mission statement; adhere to all confidentiality and HIPAA requirements as outlined within Inovalon’s Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position.

Requirements

• Minimum 3 years of experience with SAAS healthcare product ownership, business analysis, or product management roles with proven domain knowledge of claims workflows, EDI, and payer requirements.
• Agile / SCRUM experience and/or certification.
• Excellent interpersonal, written, and oral communication skills.
• High level of honesty, respect, dependability and flexibility.
• Experience in fast-paced and rapidly growing environment.
• Strong business acumen.
• Must be comfortable gathering feedback from internal and external stakeholders.
• Proficiency of Microsoft Office tools, including Word, Excel, and PowerPoint preferred.
• Great organizational skills and ‘get things done’ attitude.
• Bachelor’s Degree or an equivalent combination of education and experience.

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.
• Travel for this position will include up to 10%.

Pay

Base Compensation Range: $84,600—$97,000 USD

Benefits

Inovalon invests in associates to help them stay healthy, save for long-term financial goals, and manage the demands of work and personal commitments. That’s why Inovalon offers a valuable benefits package with a wide range of choices to meet associate needs, which may include health insurance, life insurance, company-paid disability, 401k, 18+ days of paid time off, and more.