Location: Chennai, Trivandrum, Kochi
Employment Type: Full-time

Role Description

As a Product Owner, you will be responsible for driving the vision, roadmap, and execution of our Enrollment and Billing platforms across multiple lines of business. You will collaborate with Product Managers, UX designers, tech teams, and stakeholders to transform regulatory requirements and market trends into robust, scalable healthcare solutions. Your role will bridge strategic intent and operational execution—ensuring the product meets business goals, regulatory compliance, and end-user expectations.

Key Responsibilities 1. Product Vision & Strategy

Drive product vision aligned with cross-domain healthcare needs and business viability.

Develop and maintain a comprehensive roadmap spanning:

Enrollment: Group setup, onboarding (NewApp, PBP Change), disenrollment, eligibility/EFT files, CMS compliance.

Billing: Claims processing (835/820/277), retro adjustments, ACH/MMR/MPWR integration, financial reconciliation.

2. Product Discovery & Market Research

Lead primary/secondary research and competitive analysis.

Identify opportunities for automation (e.g., auto-renewals, AI exception handling).

Co-facilitate discovery sprints and feasibility prototyping.

3. Backlog & Agile Delivery

Write and prioritize epics, features, and detailed user stories.

Ensure backlog covers core areas: EDI engines, DTRR, work queue orchestration, vendor feeds, and correspondence templates.

Manage sprint ceremonies: planning, grooming, demos, retrospectives.

4. Stakeholder Engagement

Act as primary liaison with health plans, vendors, delivery teams, and CMS.

Present product KPIs: turnaround time, DTRR resolution rate, invoice accuracy, etc.

Drive continuous improvement and ensure adherence to Product OKRs.

5. Regulatory & QA Compliance

Track evolving CMS, HIPAA, and Medicaid rules; translate updates into actionable backlog items.

Partner with QA to design audit-ready, compliant test scenarios and logging.

6. UX and Technology Integration

Partner with design teams to define member/provider experience (wireframes, journey maps).

Define API and file interface specifications for integrations: PCP directories, PBMs, claims systems, and banks.

Mandatory Skills

7+ years in Product Owner or Senior Business Analyst roles in US healthcare (Enrollment/Billing domain).

Deep expertise in EDI standards: 834, 270/271, 835, 820, 277CA.

Strong knowledge of DTRR, CMS reporting, LIS/LEP workflows, and HIPAA compliance.

Experience with Agile/Scrum, backlog tools (Jira, Aha), and CI/CD principles.

Proficiency in defining user stories, product metrics, acceptance criteria, and UX flows.

Good to Have Skills

Exposure to exponential technologies (AI/ML, IoT, Blockchain) and their healthcare applications.

Familiarity with DevOps practices and automated test pipelines.

Product documentation and demo delivery expertise.

Experience in premium billing for Commercial, MA, and Medicaid products.

Soft Skills

Excellent communication and stakeholder management.

Strong analytical and strategic thinking.

Leadership and motivational abilities across cross-functional teams.

Curiosity and adaptability to evolving healthcare regulations and technologies.

Ability to translate complex regulations into simplified user stories and product flows.

Experience Range

7+ years of experience in Product Ownership or Senior BA roles, with a strong focus on US healthcare systems (Enrollment & Billing).