Product Owner - Membership Administration

Employment Type

Full-time

Exempt or Non-Exempt

Exempt

Job Summary

• Hybrid Work Environment - Must reside in Hawaii**
  
  
  

Pay Range: $68,000 to $133,000

Note: Individuals typically begin between the minimum to middle of the pay range

The claims product owner (PO) is responsible for driving the development and delivery of innovative digital solutions and platforms related to enhancement of claims processing in the health insurance domain. Working within an Agile framework, the PO translates complex business needs into well-defined user stories and prioritizes work for development teams to maximize business value and customer satisfaction.

Minimum Qualifications

• Bachelor's degree and five years of related work experience; or equivalent combination of education and related work experience.
• In-depth knowledge of managed care, PPO, HMO, Medicaid, Medicare Advantage, and commercial group health plans
• Strong working knowledge of claims adjudication systems (e.g., Facets, QNXT, Epic Tapestry, HealthEdge)
• Effective written and verbal communication skills
• Intermediate knowledge of Microsoft Office applications including, but not limited to Word, PowerPoint, Outlook and Excel.
  
  
  

Duties And Responsibilities

• Product Ownership & Agile Delivery:
• Develop, maintain and communicate product vision & roadmaps, ensuring alignment with organizational goals, technology trends, and customer needs.
• Represent the voice of the customer and business stakeholders within the Scrum team, ensuring user stories deliver measurable value.
• Own and evolve the product backlog, prioritizing based on performance analytics, stakeholder input, sprint outcomes, and shifting business priorities to maximize value delivery.
• Partner with nexus & scrum team(s) to ensure timely and high-quality delivery through agile ceremonies and best practices.
• Facilitate cross-functional collaboration between developers, QA, UX, and architecture to align on technical feasibility, design standards, and user experience goals.
• Support release planning and deployment coordination across environments.
• Product Strategy & Requirements:
• Translate business needs and strategic goals into innovative, scalable solutions aligned with healthcare industry challenges and regulatory requirements.
• Apply business insight and analysis to develop strategies that reflect constraints, resources, and HMSA values.
• Define and document product features and user stories that reflect strategic objectives and adhere to architectural standards
• Continuously improve processes, templates, and methodologies to enhance customer experience, quality, and launch time.
• Stakeholder Management:
• Build strong relationships with stakeholders at all levels, ensuring alignment on needs and clear communication throughout the product development lifecycle.
• Level set stakeholders' expectations and facilitate collaboration to define and deliver feasible product visions.
• Act as primary liaison between business stakeholders and development teams, leading and mentoring stakeholders on product lifecycle, processes, and tools.
• Present and communicate with executive level leadership
• Collaboration:
• Partner with architecture, agile teams, and project management office to develop standards, processes, and continuous improvement opportunities.
• Support product owners, program managers, solution delivery managers and agile teams with strategic alignment and prioritization.
• Mentor product team members and create product tools, templates, and processes.
• Performance Outcomes:
• Define and monitor key performance indicators (KPIs) for products and initiatives, using data to drive optimization.
• Enterprise Agile Leadership:
• Support the Enterprise Agile Initiative, providing strategic direction, fostering a culture of agility, and driving continuous improvement across IT product development.
• Enable product management lifecycle and agile methodologies across teams.
• Performs all other miscellaneous responsibilities and duties as assigned or directed.