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Prime Health Services

Product Owner - Group Health

Franklin, TN Full time Posted 6h ago

Job Description

Product Owner for Group Health is responsible for turning commercial group health priorities into actionable work for engineering and supporting delivery of product enhancements.

Responsibilities

  • Act as the product subject matter expert for assigned Group Health solutions and product functionality
  • Translate business needs, client requests, and operational workflows into clear product requirements
  • Support claim-related solutions across PPO networks, out-of-network claims, claim scrubbing, and large dollar claim review
  • Apply product knowledge for No Surprises Act and ERISA-related considerations, including Qualifying Payment Amounts
  • Provide day-to-day product clarification and decision support during development
  • Collaborate with Product Analysts, Engineering, QA, and the Agile Delivery Manager to help teams achieve sprint readiness and execute delivery
  • Support user acceptance testing, validation, product demos, training, and stakeholder walkthroughs
  • Serve as a resource to internal teams for questions about Group Health solutions, functionality, or client-specific needs
  • Support Implementation and Client Services through product knowledge transfer and workflow clarification
  • Identify product improvement opportunities using feedback from clients, prospects, and internal stakeholders

Requirements

  • Bachelor’s degree in Business, Healthcare Administration, Information Systems, Product Management, or a related field (preferred)
  • 5+ years experience in a Product Owner, Product Analyst, Business Analyst, Operations, Claims, Network, or healthcare technology role
  • Experience in Commercial Group Health, healthcare claims, PPO networks, out-of-network solutions, medical bill review, claim repricing, or cost containment (strongly preferred)
  • Experience with No Surprises Act, ERISA, Qualifying Payment Amounts, claim scrubbing, large dollar negotiations, PPO network application, or out-of-network claim handling (preferred)
  • Ability to translate business needs and workflow requirements into clear functional requirements
  • Experience working with cross-functional teams in an agile delivery environment
  • Strong communication, collaboration, and problem-solving skills
  • Ability to clarify requirements and provide timely product direction during active development cycles
  • Attention to detail and ability to manage multiple priorities
  • Familiarity with backlog management tools such as Azure DevOps, Jira, or similar platforms (preferred)

Technologies

  • Azure DevOps
  • Jira

Benefits

  • Medical Insurance (high deductible plan with an HSA)
  • Dental Insurance
  • Vision Insurance
  • Short-term and long-term disability paid by the company
  • Group term life paid by the company
  • Generous PTO
  • Wellness program with monetary rewards
  • Employee recognition programs with monetary rewards
  • Corporate office amenities including specialty coffee machines, assorted tea options, smoothie bar, collaborative workspaces, fruit provided by the company, and an onsite market
  • Regular employee events

Location: Franklin, TN (onsite)

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