Role Summary

We are seeking a highly strategic and execution-oriented Product Owner with deep expertise in the healthcare provider domain to lead next-generation digital product initiatives across Provider Operations, Contracting, Network Management, Credentialing, Claims, and Member interactions.

This role is designed for a modern IT organization operating in an AI-first engineering environment. The ideal candidate combines strong provider business knowledge with exceptional product management capabilities, data fluency, process thinking, and advanced usage of AI tools for rapid ideation, prototyping, workflow visualization, and product design acceleration.

The Product Owner will partner closely with Engineering, Architecture, Operations, Data, and Business stakeholders to build scalable, event-driven, observable, and AI-enabled provider platforms.

Key Responsibilities

Provider Domain Leadership

Act as the primary product lead for provider-centric platforms and workflows.
Own product vision, roadmap, backlog, prioritization, and execution for provider-related initiatives.
Drive modernization of provider lifecycle capabilities including:

Provider onboarding
Credentialing & recredentialing
Provider data management
Contracting & fee schedules
Network creation and hierarchy management
TIN/NPI relationships
Affiliation and participation management
Directory accuracy and compliance
Claims integration and adjudication touchpoints
Member-provider interaction workflows

Product Strategy & Delivery

Translate complex business processes into scalable digital products and engineering outcomes.
Define product operating models aligned to agile delivery and value stream principles.
Create detailed user stories, acceptance criteria, process flows, and product specifications.
Prioritize work based on business value, operational impact, risk reduction, and customer experience.
Drive continuous improvement using product analytics, operational metrics, and user feedback.

AI-Driven Product Engineering

Leverage advanced AI tools for:

Wireframing
UI/UX ideation
Workflow diagramming
Product documentation
Story generation
Rapid prototyping
Process simulation
Backlog acceleration

Use modern tools such as:

Lucidchart / Miro
Figma AI
ChatGPT / Claude / Gemini
AI coding copilots
Workflow orchestration and visualization tools

Champion AI-native product delivery practices across teams.

Provider Data & Platform Expertise

Possess deep understanding of provider data models and relationships including:

NPI/TIN structures
Parent-child hierarchies
Contract entities
Locations and specialties
Network participation
Affiliation structures
Roster ingestion and validation
Data lineage and provenance

Work closely with engineering and architecture teams on:

APIs and schema contracts
Event-driven integrations
Cloud events
Data observability
Traceability and OTEL concepts

Cross-Functional Collaboration

Collaborate with:

Engineering teams
Architects
Provider operations
Claims teams
Network management
Compliance
Analytics and reporting teams

Facilitate alignment between business strategy and technology implementation.
Lead stakeholder workshops, backlog grooming, sprint planning, and product demos.

Required Qualifications

Bachelor s degree in Computer Science, Information Systems, Healthcare Administration, or related field.
8+ years of experience in Product Ownership, Product Management, Business Architecture, or Provider Operations technology.
Extensive experience in healthcare payer/provider ecosystems.
Strong expertise in:

Provider data management
Provider contracting
Network creation and optimization
Claims and member workflows
Credentialing operations

Strong understanding of agile methodologies and modern product operating models.
Experience working with distributed engineering teams and enterprise platforms.

Preferred Qualifications

Experience with healthcare platforms and ecosystems.
Familiarity with:

FHIR
HL7
Provider directory standards
Event-driven architecture
Graph-based relationship modeling
Data lineage frameworks

Exposure to observability frameworks and telemetry concepts.
Experience with AI-assisted product development and AI-native delivery practices.

Key Skills

Domain Expertise

Provider Lifecycle Management
Provider Data & Network Management
Claims & Member Ecosystem
Credentialing & Contracting
Healthcare Operations

Product & Delivery

Agile / Scrum
Product Discovery
Roadmap Management
User Story Writing
Backlog Prioritization
Process Re-engineering

Technical & AI Skills

AI-powered product tooling
Workflow visualization
Wireframing & rapid prototyping
APIs & schema contracts
Event-driven architecture
Data lineage & observability
Analytical and systems thinking

Leadership Traits

Systems thinker with strong operational acumen
Highly collaborative and execution focused
Ability to simplify complex provider workflows
Strong communication and stakeholder management skills
Bias toward automation, standardization, and measurable outcomes
Comfortable operating in ambiguity and driving transformation initiatives

Success Metrics

Reduction in provider onboarding and contracting cycle times
Improved provider data quality and accuracy
Faster product delivery velocity through AI-assisted workflows
Increased automation and reduced operational touchpoints
Improved member and provider experience
Higher engineering productivity and backlog clarity

Senior Product Owner Provider Platforms & AI-Driven Product Delivery

Key skills

About this role