Product Owner, Claims Editing

Proclinical

Tampa (FL)

Remote

USD 100,000 - 140,000

Full time

4 days ago
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Job summary

Proclinical is seeking a Product Owner to join our client’s US team. You will drive enhancements to a healthcare payments platform, partnering with product, technology, analytics, and operations to deliver value for patients, providers, and businesses.

The role is fully remote within the United States, with occasional travel for team collaboration and meetings. You will translate business needs into functional requirements and support data-driven decision-making in a fast-paced environment.

Qualifications

  • Experience in healthcare, health tech, or related operations.
  • Ability to gather requirements and translate into actionable specifications.
  • Strong data analysis skills to support decisions and reporting.
  • Proven stakeholder management and communication能力.
  • Experience guiding product delivery in cross-functional teams.
  • Familiarity with Agile, Scrum, or similar methodologies.

Responsibilities

  • Define and prioritize product initiatives based on regulatory, industry, and customer needs.
  • Convert complex healthcare concepts into clear requirements and user stories for tech teams.
  • Support automation initiatives improving claim review and decision-making.
  • Review trends and metrics to identify optimization opportunities and drive performance.
  • Collaborate with technology, analytics, and SMEs to ensure solutions meet objectives.
  • Produce documentation and knowledge materials to promote adoption of new features.

Skills

Healthcare domain knowledge
Requirements gathering
Data-driven decision making
Stakeholder management
Cross-functional collaboration
Agile / Scrum familiarity

Education

Bachelor's degree or equivalent experience

Job description

Product Owner - Permanent - Remote, US

Ready to shape the future of healthcare payments and reimbursement technology while driving meaningful improvements for patients, providers, and businesses?

Proclinical is seeking a Product Owner to join our client's team in the United States. In this role, you will be responsible for driving enhancements to a healthcare technology platform, working closely with cross-functional teams to deliver solutions that improve operational performance, support business objectives, and create value for customers.

This position is fully remote within the United States, with periodic company-funded travel required for team collaboration and business meetings.

Primary Responsibilities:

The successful candidate will partner with stakeholders across product, technology, analytics, and operations functions to define requirements, prioritise product initiatives, and support the delivery of innovative healthcare solutions. This position offers the opportunity to contribute to data-driven decision-making and ongoing product development within a collaborative and fast-paced environment.

Skills & Requirements:
Minimum Qualifications
  • Demonstrated experience working within healthcare, health technology, insurance, reimbursement, revenue cycle, or a related operational environment.
  • Degree-level education or equivalent professional experience.
  • Strong understanding of healthcare processes, data-driven decision making, and complex business workflows.
  • Experience gathering requirements and translating business needs into functional solutions, process improvements, or system enhancements.
  • Proven ability to interpret data, identify trends, and support business decision-making through analysis and reporting.
  • Comfortable working with a range of digital tools and technologies to support operational and product-related initiatives.
  • Strong stakeholder management, communication, problem-solving, and organisational skills.
  • Ability to work collaboratively across multiple teams in a fast-paced and evolving environment..
Preferred Qualifications
  • Experience supporting the development, enhancement, or optimisation of healthcare technology products or business systems.
  • Knowledge of healthcare funding, reimbursement processes, revenue management, or claims-related operations.
  • Previous exposure to product delivery, business analysis, systems configuration, process improvement, or solution design activities.
  • Experience working within healthcare providers, insurers, managed care organisations, healthcare consultancies, or health technology businesses.
  • Familiarity with Agile, Scrum, or other product development methodologies.
  • Understanding of healthcare regulations, industry standards, and operational best practices.
  • Previous experience in a Product Owner, Business Analyst, Product Analyst, Systems Analyst, or similar role would be advantageous..
Additional Experience Considered Beneficial
  • Exposure to healthcare platforms, operational systems, workflow automation tools, or enterprise applications.
  • Experience defining requirements, documenting processes, creating user stories, or supporting solution delivery.
  • Ability to work effectively with technical and non-technical stakeholders.
  • Experience supporting system testing, implementation, change management, or continuous improvement initiatives.
  • Strong attention to detail with the ability to balance strategic thinking and day-to-day delivery.
  • Comfortable working with data, performance metrics, and reporting tools to support product and business objectives.
The Product Owner's responsibilities will be:
  • Drive the evolution of healthcare payment and reimbursement solutions by identifying opportunities to improve operational efficiency and business performance.
  • Collaborate with internal stakeholders to gather, define, and prioritise product enhancements based on regulatory, industry, and customer requirements.
  • Convert complex healthcare and reimbursement concepts into clear functional requirements, user stories, and product specifications for technical teams.
  • Support the design and delivery of automation-focused solutions that improve claim review processes and decision-making outcomes.
  • Review data trends and operational metrics to identify areas for optimisation, measure performance, and support strategic product decisions.
  • Partner with technology, analytics, and subject matter experts to ensure new functionality meets business objectives and user needs.
  • Contribute to product testing activities, ensuring solutions are delivered accurately and perform as expected in live environments.
  • Develop supporting documentation and knowledge-sharing materials to promote successful adoption of new features and enhancements.
  • Build strong relationships across product, operations, technical, and customer-facing teams to support effective product delivery.
  • Continuously evaluate product performance and recommend improvements that enhance user experience, operational effectiveness, and commercial value.
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