Job Summary
Location: This position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii.

The Business Application Owner serves as the strategic and operational leader for one or more core business applications that support claims administration, eligibility management, provider operations, customer service, and related TPA functions. This role ensures that applications are stable, compliant, well integrated, and continuously optimized to meet evolving business, regulatory, and client needs. The Business Application Owner acts as the primary liaison between business stakeholders, IT teams, vendors, and implementation partners. integrated, and continuously optimized to meet evolving business, regulatory, and client needs. The Business Application Owner acts as the primary liaison between business stakeholders, IT teams, vendors, and implementation partners.

Define the longADterm roadmap for assigned applications, ensuring alignment with organizational goals, client requirements, and regulatory obligations.
Maintain deep functional knowledge of application capabilities, configuration options, and integration points across the ecosystem.
Prioritize enhancements, defect fixes, and upgrades based on business value, risk, and operational impact.
Oversee dayADtoADday application performance, ensuring availability, accuracy, and timely processing of critical workflows.
Monitor system KPIs and proactively identify opportunities to improve efficiency, reduce manual work, and strengthen data quality.
Coordinate incident response, rootADcause analysis, and corrective actions with IT and vendor teams.
Serve as the primary point of contact for business users, gathering requirements, clarifying needs, and translating them into actionable technical specifications.
Manage relationships with software vendors, thirdADparty partners, and implementation consultants.
Ensure service-level agreements (SLAs) are met and escalate issues when necessary.
For functionality changes, develop business cases, project plans, testing strategies, and training materials.
Facilitate user acceptance testing (UAT) and ensure successful deployment of new features or releases.
Provide subjectADmatter expertise to internal teams including claims, customer service, enrollment, provider relations, and analytics.
Develop and maintain documentation, training guides, and knowledge resources.
Support onboarding of new users and promote best practices across the organization.

Minimum Requirements:

BachelorADs degree in Business, Information Systems, Healthcare Administration, or related field.
5+ years of experience in the health insurance, TPA, or healthcare technology industry.
Strong understanding of claims administration systems, EDI transactions (e.g., 834, 837, 835), and healthcare data standards.
Demonstrated experience managing business applications or leading systemADrelated initiatives.
Excellent communication, analytical, and problemADsolving skills.

Preferred Requirements

Background in process improvement methodologies (Lean, Six Sigma).
Familiarity with SQL, reporting tools, or workflow automation platforms.

Minimum Requirements:

• BachelorADs degree in Business, Information Systems, Healthcare Administration, or related field.
• 5+ years of experience in the health insurance, TPA, or healthcare technology industry.
• Strong understanding of claims administration systems, EDI transactions (e.g., 834, 837, 835), and healthcare data standards.
• Demonstrated experience managing business applications or leading systemADrelated initiatives.
• Excellent communication, analytical, and problemADsolving skills.

Preferred Requirements

• Background in process improvement methodologies (Lean, Six Sigma).
• Familiarity with SQL, reporting tools, or workflow automation platforms.

Location: This position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii.

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