Product Owner, Medical Provider Scoring

Are you a strategic visionary dedicated to transforming the insurance landscape through data-driven innovation? We are seeking a high-caliber Product Owner to lead our Medical Provider Scoring product.

In this role, you will lead the charge in creative analytical solutions to combat medical provider fraud, waste, and abuse (FWA) - a critical challenge in the insurance industry where medical expenses remain a primary driver of increasing claim costs.

If you have a proven track record in product strategy and development, a deep understanding of the claims space related to medical billing, a knack for technical and non-technical communication, and a desire to make a significant impact, we want to hear from you.

The Product Owner will help define roadmap scope, goals, and deliverables, manage the project team, manage and report against the budget, track deliverables, monitor and report on progress, present updates and impediments to stakeholders.

The successful candidate will work on multiple workstreams simultaneously while fostering partnerships with customers and stakeholders alike.



* Partner closely with internal and external product stakeholders to develop long-term product vision and translate into actionable outcome-based roadmaps, establishing clear product direction and alignment.


* Serve as the primary conduit between internal development teams, external client partners and other internal stakeholders, fostering high-trust relationships and ensuring seamless communication.


* Manage budgets, track milestones, and proactively monitor progress.

You will be responsible for identifying impediments and presenting strategic updates to executive stakeholders.


* Lead the delivery of sophisticated analytical solutions designed to solve real-world customer problems using large industry datasets.



* 5+ years of experience in insurance claims.


* 4-year college degree or equivalent experience.


* Domain experience in medical billing data and common schemes of provider FWA


* Demonstrable experience setting strategy, defining value-based roadmaps, and executing on goals.


* Critical thinking skills and proactive identification and improvement of processes


* Detail-oriented with a strong ability to manage and execute simultaneous projects and tasks.


* Self-motivated with a high level of initiative.

Comfortable working both independently and with a team.


* Has managed or worked in close collaboration with engineering and product/process design teams


* Comfortable working on large scale projects in a corporate portfolio.


* Ability to engage with customers at different levels of an organization.


* Ability to present product concepts, product solutions, and consult with customers on best practices.


* Builds and maintains strong, effective relationships with key business stakeholders.


* Quick learner and strategic thinker who is not afraid to challenge the status quo.


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