Payment Integrity Product Jobs

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Product Owner, Payment Integrity

Zelis Morristown, NJ

Morristown, NJ

Today

$105k - $133k/yr Full time Data Analytics Payment Integrity Product Management

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Job Description

Own and prioritize payment integrity data mining work for Agile and/or Kanban delivery teams, translating strategy into backlog-ready requirements.

Responsibilities

Build, maintain, refine, and prioritize the Data Mining team backlog.
Translate roadmap initiatives, business requirements, analytical concepts, and operational needs into features, user stories, enabler stories, and acceptance criteria.
Keep backlog items clearly defined, appropriately sequenced, and delivery-ready.
Balance functional requirements, technical enablement, defect resolution, operational improvements, and nonfunctional requirements.
Partner with product leaders to ensure backlog priorities stay aligned to the product roadmap.
Communicate scope, priority, dependencies, and delivery risk changes to stakeholders.
Participate in PI Planning and team ceremonies including sprint planning, backlog refinement, daily stand-ups, sprint reviews, retrospectives, and Product Owner synchronization.
Present story details and priorities to Agile teams; support estimation and capacity discussions with Engineering, Data Science, and other delivery partners.
Coordinate dependencies with other product and delivery teams.
Resolve requirement questions and provide timely clarification during development.
Accept completed stories after confirming acceptance criteria and the Definition of Done are met.
Participate in system demonstrations and ensure delivered functionality is presented to relevant stakeholders.
Partner with key stakeholders to document detailed requirements for data mining, including system/workflow/data/reporting/user requirements.
Document expected inputs and outputs, business rules, exception handling, user interactions, and operational workflows.
Work with Architecture and Engineering to understand technical enablers and document their business relevance.
Identify gaps, conflicts, and unclear requirements before work enters development.
Support workflow diagrams, wireframes, process maps, and data flow documentation as appropriate.
Translate AI, machine learning, and automation requirements into clear user stories, acceptance criteria, workflow requirements, and nonfunctional requirements.
Document requirements for human review, explainability, confidence thresholds, exception handling, auditability, monitoring, and escalation.
Partner with tech teams to ensure AI-enabled features are testable and operationally understandable.
Collaborate with QA and business stakeholders to define test scenarios and expected results.
Support functional testing, user acceptance testing, defect triage, and release validation; confirm delivered functionality meets business requirements.
Coordinate with Product Manager and Operations on release readiness.
Support release notes, internal documentation, training materials, and knowledge transfer.
Help monitor releases and rapidly identify issues requiring backlog action.
Support validation and acceptance testing for AI-enabled functionality, including expected outputs, exception scenarios, workflow impacts, and human-in-the-loop controls.
Confirm AI-generated or AI-assisted outputs meet approved acceptance criteria before release.
Gather user feedback and convert actionable needs into backlog items.
Facilitate decisions when stakeholders have conflicting requirements.
Maintain transparency regarding sprint priorities, delivery progress, and impediments; support continuous improvement of Agile delivery and product development practices.

Requirements

Bachelor’s degree or equivalent relevant experience.
4+ years of experience in product management, business analysis, or a related role.
Experience creating user stories, acceptance criteria, business requirements, functional specifications, or test scenarios.
Experience managing or contributing to an Agile team backlog.
Knowledge of Agile software development lifecycle practices.
Strong analytical, troubleshooting, process-mapping, and communication skills.
Ability to organize complex information and translate it into clear delivery requirements.
Ability to manage multiple priorities in a fast-moving environment.
Experience supporting AI, analytics, machine learning, automation, or data-intensive product delivery.
Familiarity with model outputs, confidence scoring, decision-support workflows, and responsible AI controls.

Technologies

SQL
AI
Machine learning
Automation
Data mining

Benefits

401k plan with employer match
Flexible paid time off
Holidays
Parental leaves
Life and disability insurance
Health benefits including medical, dental, vision, and prescription drug coverage

Preferred Qualifications

Healthcare or Payment Integrity experience, including data mining, FWA, COB, or similar.
Experience with healthcare claims data, reimbursement, clinical review, or claims auditing.
Experience supporting analytics, data science, or data platform products.
Working knowledge of SQL; coding is not required.
SAFe Product Owner/Product Manager, CSPO, CPO, or comparable certification.

Location and Work Environment

Morristown, NJ (onsite)
Zelis is headquartered in the U.S., with multiple locations across the country and in Hyderabad, India.
Employee work locations are based on the needs of the position and determined by Leadership.
In-office work and activities vary based on work and team objectives per Company policies.
Candidates within approximately 50 miles of a U.S. office are generally preferred for collaboration needs.
Hybrid approach is flexible; in-office presence is guided by team and business needs rather than a fixed weekly schedule.

Salary

Base salary range: $105,000.00 - $133,000.00

Accessibility Support

If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, email TalentAcquisition@zelis.com.

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