Senior Healthcare Payer Business Analyst / Product Owner
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Overview
Remote
On-site
Compensation
$80-$83/hour
Job Description
- Location: Minnetonka Mills, MN
- Duration: 6 months
- Job Title: Senior Healthcare Payer Business Analyst / Product Owner
- Experience Required: 6–8 years
- Domain: Healthcare Payer
- Role Summary:
- Lead requirements gathering and drive consensus among multiple stakeholders.
- Evaluate different stakeholder perspectives and align teams toward common business and technology goals.
- Visualize and develop solutions that address business needs.
- Create initial prototypes and proof-of-concepts (POCs).
- Translate high-level business requirements into detailed solution requirements.
- Support proactive solution pitches to healthcare payer business teams.
- Align business objectives with IT strategies and lead internal IT teams.
- Manage requirements within product backlogs.
- Write detailed user stories, use cases, and acceptance criteria.
- Support functional and acceptance testing activities.
- Evangelize solutions and secure stakeholder buy-in.
- Demonstrate 10+ years of hands-on healthcare payer experience.
- Apply strong healthcare claims knowledge, including claims engines, product and benefits, and claim processing.
- Demonstrate broad understanding of healthcare payer functions, including:
- Sales and Marketing
- Healthcare Product Management
- Membership
- Provider Management
- Prior Authorization
- Utilization Management
- Claims
- Program Integrity
- Understand healthcare lines of business such as Medicare and Medicaid.
- Maintain awareness of CMS guidelines and healthcare industry trends.
- Apply strong communication, influencing, analytical, and leadership skills.
- Write SMART requirements that are Specific, Measurable, Accurate, Realistic, and Time-bound.
- Product Owner Experience:
- Manage and prioritize product backlogs.
- Write detailed user stories and use cases.
- Define acceptance criteria and functional requirements.
- Plan and support program increments and sprints.
- Coordinate with development and business teams to ensure successful delivery.
- Drive teams toward demonstrable and showcase-ready solutions.
- Responsibilities & Expectations:
- Develop points of view (POVs) on topics relevant to client business needs.
- Monitor regulatory changes, industry drivers, and healthcare trends.
- Develop contextual POVs, articles, and blogs based on industry developments.
- Collaborate with data scientists, AI architects, and technical teams to rapidly develop solutions and POCs.
- Write detailed use cases with minimal guidance or dependency.
- Support account teams in driving innovation by identifying relevant technology applications based on:
- Customer needs
- AI maturity
- Current business requirements
- Target audience and stakeholder roles
- Stay current with healthcare industry trends, including:
- Interoperability
- FHIR
- HL7
- EDI
- Cost of Care
- Value-Based Care
- Understand evolving healthcare business models and industry drivers.
- Apply emerging technologies such as AI and Generative AI to real-world healthcare business problems.
- Demonstrate a deep understanding of the healthcare ecosystem and value chains.
- Understand value exchange between healthcare entities.
- Quickly understand adjacent healthcare domains, including:
- Pharmacy
- Pharmacy Dispensing
- Pharmacy Benefit Management (PBM)
- Identify innovative aspects of solutions and contribute to intellectual property opportunities, including patents, copyrights, and trademarks.
- Healthcare Domain Expertise:
- Healthcare Payer
- Healthcare Claims
- Claims Engines
- Product & Benefits
- Claims Processing
- Medicare
- Medicaid
- CMS Guidelines
- Membership
- Providers
- Prior Authorization
- Utilization Management
- Program Integrity
- Pharmacy
- PBM
- Healthcare Product Management
- Value-Based Care
- Cost of Care
- Healthcare Interoperability
- AI & Technology Skills:
- Artificial Intelligence (AI)
- Generative AI
- AI Solution Development
- AI/POC Development
- Collaboration with Data Scientists
- AI Architecture
- Technology Solutioning
- Prototyping
- Proof of Concepts
- Interoperability Skills:
- FHIR
- HL7
- EDI
- Healthcare Data Exchange
- Healthcare Interoperability
- Essential Skills:
- Business Analysis
- Healthcare Payer
- Healthcare Claims
- Healthcare Product & Benefits
- Product Owner Experience
- Requirements Management
- User Stories
- Use Cases
- Product Backlog Management
- Acceptance Testing
- Functional Testing
- Stakeholder Management
- Consensus Building
- Solution Design
- Healthcare Domain Expertise
- AI / Generative AI
- Key Competencies:
- Strong communication and influencing skills.
- Strong analytical and problem-solving abilities.
- Ability to drive cross-functional teams.
- Ability to translate business needs into actionable technical solutions.
- Ability to manage complex stakeholder requirements.
- Strong presentation and solution evangelization skills.
- Ability to create SMART requirements.
- Strong understanding of healthcare payer business models and processes.
- Ability to work independently with minimal guidance.
Automate your job search with Sonara.
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FAQs About Senior Healthcare Payer Business Analyst / Product Owner Jobs at Talent Software Services, Inc.
What is the work location for this position at Talent Software Services, Inc.?
This job at Talent Software Services, Inc. is located in Minnetonka, MN, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.
What pay range can candidates expect for this role at Talent Software Services, Inc.?
Candidates can expect a pay range of $79.54–$83.33 per hour for this role.
What employment applies to this position at Talent Software Services, Inc.?
The employer has not provided this information. This may be discussed during the hiring process.
What is the process to apply for this position at Talent Software Services, Inc.?
You can apply for this role at Talent Software Services, Inc. either through Sonara's automated application system, which helps you submit applications 10X faster with minimal effort, or by applying manually using the direct link on the job page.