Senior Product Owner - Health Insurance Premium Billing & Reconciliation

Job Title: Product Owner – Premium Billing Health Insurance

Location: 100% Remote

Duration: 12+ Months

Job Description:

• Seeking a highly skilled and strategic Product Owner to lead the development of our Group Premium Billing, Medicare Premium Billing, Accounts Receivables, Premium Reconciliation, and 820 Processing capabilities.
• This role is critical to ensuring accurate, compliant, and efficient premium billing operations across our health plan offerings.
• This role requires subject matter expertise to create a differentiated product with innovative features.
• A strong technical background is required for effectively collaborating with the Product Engineering Teams.

Key Responsibilities

• Own the product vision and roadmap for premium billing and reconciliation capabilities, aligning with business goals and regulatory requirements.
• Build a product that encompasses - Group Billing, Individual Billing, Medicare Billing & reconciliation, Medicaid Billing & Reconciliation, Marketplace Exchange Billing
• Collaborate with stakeholders across finance, operations, compliance to gather and prioritize requirements.
• Define and maintain a product backlog with clear, actionable user stories and acceptance criteria.
• Lead Agile ceremonies including sprint planning, backlog grooming, and reviews with cross-functional teams.
• Ensure seamless integration with EDI 820 processing, accounts receivable systems, and payment reconciliation workflows.
• Partner with engineering and QA teams to deliver high-quality, scalable product.
• Monitor product performance, gather feedback, and iterate to improve user experience and operational efficiency.

Required Qualifications

• Bachelor’s degree or foreign equivalent required from an accredited institution. Will also consider three years of progressive experience in the specialty in lieu of every year of Education.
• 10 Yrs of experience in Information Technology with strong understanding of technical aspects of Product Development, Solution and Design.
• 5+ years of experience as a Product Owner or Product Manager in the healthcare or health insurance industry.
• Deep understanding of health insurance operations, especially group plans.
• Proven experience with premium billing systems, Medicare billing, and EDI 820 processing.
• Strong understanding of accounts receivable, payment reconciliation, and financial workflows.
• Managing product lifecycle in whole – from ideation, exploration, approval, development, implementation, measurement, and ongoing development.
• Experience working in Agile/Scrum environments with cross-functional teams.
• Excellent communication, stakeholder management, and problem-solving skills.
• Familiarity with HIPAA, ACA, and other healthcare compliance standards.
• Demonstrated ability to navigate ambiguity and adapt quickly to new technology and processes.
• Strong business acumen including experience in estimation and pricing, market research.
• Ability to work with distributed teams in India and US in a Global Delivery model is a must.