Product Owner - Claims

Inovalon was founded in 1998 on the belief that technology, and data specifically, 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. And the momentum is building.

Together, as ONE Inovalon , we are a united force delivering solutions that address healthcare’s greatest needs. Through our mission-based culture of inclusion and innovation, our organization brings value not just to our customers, but to the millions of patients and members they serve.

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).

Overview: The Product Owner is responsible for establishing a deep product expertise both from a technical and market perspective by understanding buyer and user personas, value proposition, benefits, features and functionality, competitive landscape, architecture, code base, and technical components. This person collaborates 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. This role will partner closely with product managers in reviewing product roadmaps and drive the prioritization of work accordingly. The Product Owner will partner closely with product managers in reviewing product roadmaps and drive prioritization of work accordingly. This role will plan, prioritize, and maintain product feature backlog and development for a product. This person has prior experience with software-as-a-service (SAAS) distribution models. 
Duties and Responsibilities:

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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 our 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, deplo