Lead Product Owner - Claims (Remote)

Why This Role is Important to Us: The Lead Product Owner, as part of the Business Solutions Team, acts as the foremost IT subject-matter-expert for the product(s) supported, understanding the complete technical stack, including platform configuration, end-to-end integration, business rules, underlying databases, and software releases. The Lead Product Owner will be responsible for leading and driving the product strategy, which includes envisioning, building, executing, and maintaining the product roadmap. The Lead Product owner will create and establish the transformation portfolio's overall goals, and function as the application technical lead in strategic projects as needed across all products in the portfolio. In this role, you will join a collaborative team that operates at a fast pace to solve problems and build a better future for our members and business stakeholders. Supervision Exercised: None What You'll Be Doing: Serve as the product visionary, focusing on where the platform needs to be in the long term by understanding who the users of the product are, what the target market is, and defining value that achieves business needs. Lead technical feasibility assessments, conduct research, and provide use cases for roadmap initiatives to drive business value. Responsible for application architecture and configuration to optimize performance, simplify data models, and streamline business processes. Function as the technical subject matter expert for all applications in the corresponding business vertical(s). Oversee the entire product development process, including estimation of product costs, coordination between senior management and development teams, creation of production schedules, and setting up a product backlog with prioritization of in-demand features. Define and plan software release schedule(s) to maintain technical currency and limit the accumulation of technical debt and rot. Ensure platform adherence to CCA security standards, including timely application of security patches and working with the Office of the Chief Information Security Officer to apply and execute the necessary governance and processes. Lead all platform configuration to ensure it meets business needs, aligns to IT standards, and supports the necessary end-to-end integration other platforms and vendor partners. Review and approve all engineering estimates supporting IT project delivery for the platform(s). Advise and approve the integration designs provided by solution architecture. Manage SaaS vendor(s) to ensure product quality, timely delivery, and service level agreement adherence. Provide IT estimates for product, vendor, and testing related to all IT delivery for the platform to ensure alignment to technical scope and business needs. Ensure vendor solutions and CCA-developed applications maintain CMS compliance. Mentor product owners and senior product owners on the Business Solutions team across the business vertical. Responsible for the proper functioning of the platform's end-to-end technology stack. Monitor the market and developing competitive analyses to determine how the product can yield the most business value and find the best return on investment. Facilitate the sharing of knowledge across larger teams to empower them and encourage independent decision-making. Align stakeholders around the vision for the product. Optimize User Experience, leveraging in-depth research of what customers generally demand from a similar product, and how accessible specific product features are to a wide range of users. Implement backlog prioritization, creating a list of all the in-demand features from the product that weighs value, effort, cost, and timeline to determine which features are necessary to push into production first. Create and maintain an understanding of data flow, personas, and key business processes across all products in the transformation portfolio: ability to demo the E2E business process within the product understanding of solution architecture understanding of external integrations What We're Looking For: Education: Bachelor's degree in a related field Education Desired: Master's degree in computer science, Healthcare, Data Science, Business Administration Experience Required: 5+ years' experience that has served in multiple roles such as product owner, configuration lead, product management, and/or business consultant. Experience in coaching agile best practices and driving operational process change 4+ years leadership experience driving business solutions and configuration utilizing 4+ years managing solutions implementations Knowledge, Skills & Abilities Preferred: Healthcare Enrollment Strong knowledge of healthcare enrollment systems and data preferably including the MHK Market Prominence platform. Knowledge, Skills & Abilities Required: Healthcare Claims Strong knowledge of healthcare claims systems and data, including payment integrity, pricing, editing, encounter submission, and risk adjustment Cloud Computing Technologies Knowledge of cloud computing technologies such as AWS and MS Azure. Agile and Project Management Tools & Methodologies including SCRUM, SAFE, Kanban, Jira, MS Project 3rd Party Vendor Integration Understanding of integration technologies and implementation strategies, including vendor management and contracting. Systems Analysis and SQL Ability to analyze application functionality including use of underlying data structures Adaptability/ Flexibility Adapts to change, is open to new ideas, takes on new responsibilities, handles pressure, and adjusts plans to meet changing needs. Customer Focus Builds customer confidence, is committed to increasing customer satisfaction, sets achievable customer expectations, assumes responsibility for solving customer problems, ensures commitments to customers are met, solicits opinions and ideas from customers, responds to internal customers. Excellent communication skills required. Decision Making/ Judgment Recognizes problems and responds, systematically gathers information, sorts through complex issues, seeks input from others, addresses root cause of issues, makes timely decisions, can make difficult decisions, uses consensus when possible, and communicates decisions to others. Leadership Possesses a clear technical vision and brings innovation and creativity when problem solving. Ability to lead strategic/consultative sessions with stakeholders and technical teams. Managing for Results Sets challenging and productive goals for team, keeps team accountable for actions, provides leadership and motivation, provides resources and support, uses checkpoints and data to track progress, sets up systems and processes to measure results. Ability to manage program-level portfolio workloads (multi-project scope). Managing Performance Applies clear/consistent performance standards, handles performance problems decisively and objectively, is direct but tactful, provides guidance and assistance to improve performance. Negotiation Skills Conducts positive negotiations, ability to compromise, handles conflict, seeks common ground, articulates own and other goals, stays focused on positive outcome. Organizational Savvy Operates within the organization's formal and informal structures, builds allies and relationships across departments, uses allies to build consensus and create results, is appropriately diplomatic, understands others' roles and perspectives, can sell projects and ideas across the organization. Strategic Thinking/ Management Creates and communicates a long-term vision, balances short- and long-term goals, keeps own and team's work aligned with overall goals, understands the market, and can predict change, understands the industry and the competition, creates, and adjusts strategic plans. Technical Acumen Ability to understand, analyze, and interpret complex data about the design, operation and/or enhancement of products, systems, or services. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled Please note employment with CCA is contingent upon acceptable professional references, a background check (including Mass CORI, employment, education, criminal check, and driving record, (if applicable)), an OIG Report and verification of a valid MA/RN license (if applicable). Commonwealth Care Alliance is an equal opportunity employer. Applicants are considered for positions without regard to veteran status, uniformed service member status, race, color, religion, sex, national origin, age, physical or mental disability, genetic information or any other category protected by applicable federal, state or local laws.

Created: 2024-10-19