Medicaid Eligibility Product Owner: Policy to Backlog

Calqulate Metrics Ltd; Jackson (MS); On-site; USD 90,000 - 130,000; Full time

Job summary

Calqulate Metrics Ltd in the United States seeks a Medicaid Eligibility Product Owner to champion policy-to-backlog translation within our delivery team. You will guide epics, stories, and acceptance criteria to ensure timely, accurate Medicaid decisions.

You will partner with policy and technical teams to balance state rules with member outcomes, and you will help drive continuous improvement in eligibility processing and user acceptance testing.

Qualifications

• 5+ years of experience as a Product Owner, product manager, or business lead on government or healthcare systems.
• 3+ years of hands-on experience with Medicaid eligibility, enrollment, or integrated eligibility systems.
• Working knowledge of Medicaid eligibility rules, including MAGI and non-MAGI categories, verifications, and renewals.
• Experience writing user stories and acceptance criteria and managing a backlog in Jira, Azure DevOps, or a similar tool.
• Experience working in Agile or Scrum teams.
• Clear, plain-spoken communication with technical teams and agency executives alike.
• Bachelor's degree or equivalent experience.

Responsibilities

• Own and prioritize the product backlog for the state's Medicaid eligibility and enrollment system, balancing federal mandates, state policy, and member impact.
• Translate eligibility policy (MAGI and non-MAGI rules, renewals, verifications, and notices) into clear epics, user stories, and acceptance criteria.
• Lead impact analysis for new federal and state requirements, including H.R. 1 provisions such as community engagement requirements and more frequent renewals.
• Partner with state policy and program staff to clarify rules, resolve ambiguity, and document decisions.
• Work side by side with Scrum Masters, developers, testers, and business analysts through planning, refinement, reviews, and acceptance.
• Accept completed work against acceptance criteria and support user acceptance testing with state staff.
• Coordinate dependencies with adjacent systems and programs, such as SNAP, MMIS, and managed care organizations.
• Track product outcomes, such as processing timeliness, auto-renewal rates, and error rates, and use them to guide priorities.
• Communicate progress, trade-offs, and risks clearly to agency leadership and project stakeholders.

Skills

Product ownership

Agile / Scrum

Stakeholder communication

Backlog prioritization

User stories writing

Education

Bachelor's degree or equivalent experience

Tools

Jira

Azure DevOps

Job description

Calqulate Metrics Ltd in the United States seeks a Medicaid Eligibility Product Owner to champion policy-to-backlog translation within our delivery team. You will guide epics, stories, and acceptance criteria to ensure timely, accurate Medicaid decisions.

You will partner with policy and technical teams to balance state rules with member outcomes, and you will help drive continuous improvement in eligibility processing and user acceptance testing.