Senior Product Owner, Claims Platform Modernization

Simplify Alpha; Northern (KY); Hybrid; USD 120,000 - 180,000; Full time

Job summary

Simplify Alpha is seeking a Senior Product Owner to join the Claims Adjudication Platform team onsite. You will help shape and drive the modernization roadmap, working day-to-day with product owners, engineering leads, and health plan stakeholders to deliver value.

You will own the backlog for claims processing modules, write detailed epics and user stories, and ensure acceptance criteria meet regulatory and contractual intent.

Qualifications

• 8–12+ years in product ownership, product management, or senior business analysis in health plan/payer claims environments.
• Deep understanding of the claims lifecycle: intake, eligibility, adjudication, pricing, payment, COB, subrogation, appeals.

Responsibilities

• Partner with product, architecture, and engineering leads to define, sequence, and prioritize the modernization roadmap.
• Own and groom the product backlog for claims processing modules, writing clear epics, user stories, and acceptance criteria.

Skills

Product ownership

Claims domain knowledge

HIPAA/EDI compliance

Agile/Scrum

Stakeholder management

User stories & acceptance criteria

Tools

Jira

Confluence

Job description

Simplify Alpha is seeking a Senior Product Owner to join the Claims Adjudication Platform team onsite. You will help shape and drive the modernization roadmap, working day-to-day with product owners, engineering leads, and health plan stakeholders to deliver value.

You will own the backlog for claims processing modules, write detailed epics and user stories, and ensure acceptance criteria meet regulatory and contractual intent.