Job type: C2C/W2/1099
Location: Remote
Role Summary
We are seeking a highly strategic and execution-oriented Product Owner with deep expertise in the healthcare provider domain to lead next-generation digital product initiatives across Provider Operations, Contracting, Network Management, Credentialing, Claims, and Member interactions.
This role is designed for a modern IT organization operating in an AI-first engineering environment. The ideal candidate combines strong provider business knowledge with exceptional product management capabilities, data fluency, process thinking, and advanced usage of AI tools for rapid ideation, prototyping, workflow visualization, and product design acceleration.
The Product Owner will partner closely with Engineering, Architecture, Operations, Data, and Business stakeholders to build scalable, event-driven, observable, and AI-enabled provider platforms.
Key Responsibilities
Provider Domain Leadership
Act as the primary product lead for provider-centric platforms and workflows.
Own product vision, roadmap, backlog, prioritization, and execution for provider-related initiatives.
Drive modernization of provider lifecycle capabilities including:- Provider onboarding, Credentialing & recredentialing, Provider data management
Contracting & fee schedules, Network creation and hierarchy management, TIN/NPI relationships, Affiliation and participation management, Directory accuracy and compliance, Claims integration and adjudication touchpoints, Member-provider interaction workflows
Product Strategy & Delivery
Translate complex business processes into scalable digital products and engineering outcomes.
Define product operating models aligned to agile delivery and value stream principles.
Create detailed user stories, acceptance criteria, process flows, and product specifications.
Prioritize work based on business value, operational impact, risk reduction, and customer experience.
Drive continuous improvement using product analytics, operational metrics, and user feedback.
AI-Driven Product Engineering
Leverage advanced AI tools for: Wireframing, UI/UX ideation, Workflow diagramming, Product documentation, Story generation, Rapid prototyping, Process simulation, Backlog acceleration, Use modern tools such as: Lucidchart / Miro, Figma AI, ChatGPT / Claude / Gemini, AI coding copilots, Workflow orchestration and visualization tools, Champion AI-native product delivery practices across teams.
Provider Data & Platform Expertise
Possess deep understanding of provider data models and relationships including:
NPI/TIN structures, Parent-child hierarchies, Contract entities, Locations and specialties, Network participation, Affiliation structures, Roster ingestion and validation, Data lineage and provenance
Work closely with engineering and architecture teams on:
APIs and schema contracts,Event-driven integrations, Cloud events, Data observability, Traceability and OTEL concepts
Cross-Functional Collaboration
Collaborate with: Engineering teams, Architects, Provider operations, Claims teams, Network management, Compliance, Analytics and reporting teams
Facilitate alignment between business strategy and technology implementation.
Lead stakeholder workshops, backlog grooming, sprint planning, and product demos.
Required Qualifications
Bachelor’s degree in Computer Science, Information Systems, Healthcare Administration, or related field.
8+ years of experience in Product Ownership, Product Management, Business Architecture, or Provider Operations technology.
Extensive experience in healthcare payer/provider ecosystems.
Strong expertise in: Provider data management, Provider contracting, Network creation and optimization, Claims and member workflows, Credentialing operations
Strong understanding of agile methodologies and modern product operating models.
Experience working with distributed engineering teams and enterprise platforms.
Preferred Qualifications
Experience with healthcare platforms and ecosystems.
Familiarity with: FHIR,HL7,Provider directory standards, Event-driven architecture, Graph-based relationship modeling , Data lineage frameworks, Exposure to observability frameworks and telemetry concepts.
Experience with AI-assisted product development and AI-native delivery practices.
Key Skills
Domain Expertise
Provider Lifecycle Management, Provider Data & Network Management, Claims & Member Ecosystem, Credentialing & Contracting, Healthcare Operations
Product & Delivery
Agile / Scrum, Product Discovery, Roadmap Management, User Story Writing, Backlog Prioritization, Process Re-engineering
Technical & AI Skills
AI-powered product tooling
Workflow visualization
Wireframing & rapid prototyping
APIs & schema contracts
Event-driven architecture
Data lineage & observability
Analytical and systems thinking
Leadership Traits
Systems thinker with strong operational acumen
Highly collaborative and execution focused
Ability to simplify complex provider workflows
Strong communication and stakeholder management skills
Bias toward automation, standardization, and measurable outcomes
Comfortable operating in ambiguity and driving transformation initiatives