Cervey Product Owner
Job Description
The Cervey Product Owner at TrueScripts Management Services is accountable for the strategic direction, optimization, and ongoing development of the Cervey claims administration platform. This position acts as the primary business owner and subject-matter expert, working across stakeholders to shape product priorities and ensure platform changes produce measurable outcomes.
Product Ownership and Strategy
- Own the overall Cervey product vision, strategy, roadmap, and backlog.
- Set priorities for Cervey enhancements based on business value, operational needs, regulatory requirements, risk, and organizational strategy.
- Maintain a forward-looking Cervey product roadmap aligned to TrueScripts’ strategic objectives.
- Maintain strong awareness of Cervey capabilities, limitations, releases, and enhancements, and identify underutilized functionality with additional business value.
- Provide central accountability for Cervey product decisions and facilitate collaboration among Claims, Operations, IT, Analytics, Compliance, Client Services, and other stakeholders.
Requirements, Backlog, and Delivery Support
- Gather, analyze, and document business requirements.
- Translate complex claims and business needs into clear product requirements, user stories, acceptance criteria, and functional specifications.
- Ensure requirements are clearly understood prior to development or configuration, and challenge requirements by recommending alternatives when appropriate.
- Serve as the primary liaison between business stakeholders and technology teams for Cervey-related initiatives.
- Coordinate with stakeholders when Cervey functionality requires integration with other platforms or vendors.
Technical and Operational Impact
- Maintain an in-depth understanding of pharmacy claims administration and adjudication.
- Ensure Cervey functionality and configuration support business rules and claims requirements.
- Evaluate long-term implications of configuration and technology choices to support scalable and sustainable solutions.
- Partner with Claims and Operations to understand complex issues and identify sustainable system solutions.
- Assess the impact of proposed changes on claims processing, downstream systems, reporting, and client and member outcomes.
- Identify opportunities to improve efficiency through automation, elimination of manual processes, and scalable platform design.
Configuration Review, Testing, and Release Readiness
- Partner with technical resources and Cervey experts to define and implement system enhancements.
- Review and approve proposed configuration changes and ensure they align with approved product requirements and business objectives.
- Establish appropriate testing requirements for Cervey enhancements and releases, including test scenarios, test cases, and acceptance criteria.
- Ensure changes are thoroughly validated prior to production deployment.
- Participate in user acceptance testing and final product acceptance.
- Ensure regression testing is completed when changes may affect existing claims functionality.
- Monitor post-production results, address defects or unintended impacts, and maintain a disciplined process for evaluating and approving production changes.
- Coordinate product releases and enhancements with IT, Claims, Operations, and other stakeholders.
- Communicate upcoming changes, expected impacts, and timelines to affected teams, and evaluate release priorities and competing requests.
Compliance, Audits, and Documentation
- Partner with Compliance and business teams to ensure Cervey supports regulatory and contractual requirements.
- Provide product expertise during Market Conduct Audits, regulatory audits, client audits, and other examinations.
- Support validation of system configuration and claims processing requirements.
- Identify and prioritize system changes needed to address regulatory or audit findings.
- Ensure product documentation is maintained throughout the product lifecycle, including documentation to support product decisions and system functionality.
Required Qualifications
- Significant hands-on experience with Cervey in a claims administration, claims adjudication, business analysis, product, implementation, or technology role.
- Strong understanding of pharmacy claims processing and adjudication.
- Demonstrated understanding of claims configuration, business rules, testing, and system functionality.
- Experience translating business requirements into system requirements or solutions.
- Strong analytical and problem-solving skills, including ability to troubleshoot complex system and claims issues.
- Strong understanding of system testing and release processes.
- Excellent communication skills with the ability to explain technical concepts to non-technical audiences.
- Ability to work effectively across business and technology teams.
Benefits
- A wide range of health insurance options including medical, dental and vision
- A strong salary and bonus program
- A robust 401k and company match
- Truescripts transitioning to an ESOP: a team member owned company with annual share allocations through a Qualified Retirement plan
- Employee Assistance Program
- A wellness program including financial incentives, chiropractic and massage services, and fitness stipends
- Dream Manager Program
- A cohesive, family-based culture
- Charitable contributions and volunteer time
Working Conditions
- Primarily remote position with some travel to the TrueScripts office in Washington, Indiana, for meetings, team events, training, and cultural activities as needed
- Estimated 20-25% travel required