Medicaid Eligibility Product Owner: Turn Policy into Impact

First Search Inc

Jackson (MS)

On-site

USD 90,000 - 130,000

Full time

3 days ago
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Job summary

Top Echelon Software, LLC seeks a Medicaid Eligibility Product Owner to turn eligibility policy into a prioritized backlog and ensure accurate, timely decisions for the state's members. You will partner with state agencies, policy experts, and tech teams to simplify complex rules for implementation.

Responsibilities include owning and prioritizing the backlog for eligibility and enrollment, translating MAGI and non-MAGI rules into epics and acceptance criteria, coordinating with Scrum Masters

Qualifications

  • 5+ years as Product Owner or similar in government/healthcare systems.
  • 3+ years with Medicaid eligibility/enrollment systems.
  • Knowledge of MAGI and non-MAGI rules, renewals, verifications.
  • Experience writing user stories and backlog in Jira, Azure DevOps, or 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 policy intent, 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

Medicaid rules
Backlog management
User stories
Agile/Scrum
Stakeholder comms
Policy translation

Education

Bachelor's degree or equivalent

Tools

Jira
Azure DevOps

Job description

Top Echelon Software, LLC seeks a Medicaid Eligibility Product Owner to turn eligibility policy into a prioritized backlog and ensure accurate, timely decisions for the state's members. You will partner with state agencies, policy experts, and tech teams to simplify complex rules for implementation.

Responsibilities include owning and prioritizing the backlog for eligibility and enrollment, translating MAGI and non-MAGI rules into epics and acceptance criteria, coordinating with Scrum Masters

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