Senior Product Owner — Clinical Claims & Grouper

Fractal Analytics; California; Sur place; USD 170 000 - 200 000; Plein temps

Avantages offerts par ce poste

Health insurance

401(k) Plan

Parental Leave

Paid time off

Résumé du poste

Fractal Analytics is seeking a Senior Product Owner for Clinical Claims & Grouper Solutions to modernize and deliver payer-focused data products. You will partner with business, clinical, actuarial, analytics, and technology teams to translate requirements into BRDs, user stories, and validation criteria.

The role emphasizes governance, traceability, and explainability of claims classification, with collaboration across data engineering, AI/ML, and operations to drive adoption and impact.

Qualifications

• Experience working with payer claims data, clinical policy, and analytics requirements.
• Ability to translate complex payer/clinical needs into BRDs, user stories, and decision logic.
• Experience coordinating with business, clinical, actuarial, and data science teams.

Responsabilités

• Lead discovery workshops with payer stakeholders and map current-state workflows.
• Define data inputs/outputs, validation rules, and acceptance criteria for clinical claims data products.
• Ensure traceability, explainability, and auditability of outputs across modules.
• Support baseline-to-target comparisons, migration readiness, and UAT planning.
• Collaborate with AI/ML teams to determine where rules-based vs. AI-enabled approaches add value.

Connaissances

Payer claims domain

Healthcare coding knowledge

Grouper/domain judgment

Stakeholder management

Requirements gathering

Formation

Payer/claims related credentials (CPC, CCS, RHIA, RHIT, CIC, COC, CPMA, CRC, RN, MPH, MHA, ASA, FSA)

Outils

Jira

Confluence

Azure DevOps

SQL

Data dictionaries

Claims data warehouses

Databricks

Power BI

Facets

QNXT

Edifecs

Description du poste

Fractal Analytics is seeking a Senior Product Owner for Clinical Claims & Grouper Solutions to modernize and deliver payer-focused data products. You will partner with business, clinical, actuarial, analytics, and technology teams to translate requirements into BRDs, user stories, and validation criteria.

The role emphasizes governance, traceability, and explainability of claims classification, with collaboration across data engineering, AI/ML, and operations to drive adoption and impact.