Support account teams in driving innovation by identifying relevant technology applications based on: Customer needs. Apply strong healthcare claims knowledge, including claims engines, product and benefits, and claim processing.
Numbers & Facts
Location
Minnetonka, MN
Salary
$79.54–$83.33 Per Hour
Description
Location: Minnetonka Mills, MN
Duration: 6 months
Job Title: Senior Healthcare Payer Business Analyst / Product Owner
Experience Required: 6–8 years
Domain: Healthcare Payer
Role Summary:
Lead requirements gathering and drive consensus among multiple stakeholders.
Evaluate different stakeholder perspectives and align teams toward common business and technology goals.
Visualize and develop solutions that address business needs.
Create initial prototypes and proof-of-concepts (POCs).
Translate high-level business requirements into detailed solution requirements.
Support proactive solution pitches to healthcare payer business teams.
Align business objectives with IT strategies and lead internal IT teams.
Manage requirements within product backlogs.
Write detailed user stories, use cases, and acceptance criteria.
Support functional and acceptance testing activities.
Evangelize solutions and secure stakeholder buy-in.
Demonstrate 10+ years of hands-on healthcare payer experience.
Apply strong healthcare claims knowledge, including claims engines, product and benefits, and claim processing.
Demonstrate broad understanding of healthcare payer functions, including:
Sales and Marketing
Healthcare Product Management
Membership
Provider Management
Prior Authorization
Utilization Management
Claims
Program Integrity
Understand healthcare lines of business such as Medicare and Medicaid.
Maintain awareness of CMS guidelines and healthcare industry trends.
Apply strong communication, influencing, analytical, and leadership skills.
Write SMART requirements that are Specific, Measurable, Accurate, Realistic, and Time-bound.
Product Owner Experience:
Manage and prioritize product backlogs.
Write detailed user stories and use cases.
Define acceptance criteria and functional requirements.
Plan and support program increments and sprints.
Coordinate with development and business teams to ensure successful delivery.
Drive teams toward demonstrable and showcase-ready solutions.
Responsibilities & Expectations:
Develop points of view (POVs) on topics relevant to client business needs.
Monitor regulatory changes, industry drivers, and healthcare trends.
Develop contextual POVs, articles, and blogs based on industry developments.
Collaborate with data scientists, AI architects, and technical teams to rapidly develop solutions and POCs.
Write detailed use cases with minimal guidance or dependency.
Support account teams in driving innovation by identifying relevant technology applications based on:
Customer needs
AI maturity
Current business requirements
Target audience and stakeholder roles
Stay current with healthcare industry trends, including:
Interoperability
FHIR
HL7
EDI
Cost of Care
Value-Based Care
Understand evolving healthcare business models and industry drivers.
Apply emerging technologies such as AI and Generative AI to real-world healthcare business problems.
Demonstrate a deep understanding of the healthcare ecosystem and value chains.
Understand value exchange between healthcare entities.