Senior Product Owner - Claims Adjudication

CenterWell Primary Care$94K — $130K *
US-Anywhere
+ 38 other locationsRemote
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Minimum 5 years of experience in product ownership and/or project management
  • Experience with Agile development processes and tools
  • Ability to support Eastern Standard Time (EST) business hours
  • Undergraduate degree (preferred)
  • Experience with health insurance claims systems (preferred)
  • Certified SAFe® Product Owner/Product Manager (preferred)

Responsibilities

  • Represent the voice of business and stakeholders in product decisions
  • Define problems and opportunities to improve accuracy and efficiency
  • Own and prioritize the team backlog based on business value
  • Translate business needs into clear user stories
  • Partner with teams and experts to clarify requirements
  • Participate in Agile ceremonies and guide decision-making
  • Validate solutions to ensure they solve real problems

Benefits

  • Medical, dental, and vision benefits
  • 401(k) retirement savings plan
  • Paid time off including holidays and parental leave
  • Short-term and long-term disability
  • Life insurance
  • Support for personal wellness and smart healthcare decisions
Full Job Description
The Senior Product Owner is responsible for conveying the product vision and roadmap to an Agile delivery team by defining user stories and prioritizing their product backlog. Work assignments will involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

The Senior Product Owner maximizes the value delivered by an Agile team by driving solutions that improve the end-to-end claims adjudication lifecycle. This role partners closely with Product Management, business stakeholders, and delivery teams to ensure the right work is prioritized and delivered to achieve meaningful business outcomes.

Key Responsibilities
  • Represent the voice of business, operations, members, providers, and associates in product decisions.
  • Define problems, opportunities, and desired outcomes that improve accuracy, efficiency, compliance, and experience.
  • Own and prioritize the team backlog based on business value, customer impact, and strategic goals.
  • Translate business needs into clearly defined user stories with measurable acceptance criteria.
  • Partner closely with delivery teams and subject-matter experts to provide business context, clarify requirements, and ensure stories meet intended outcomes.
  • Participate in Agile ceremonies, provide timely guidance, and make informed decisions in dynamic environments.
  • Collaborate with stakeholders across Claims, Operations, Compliance, and peer Product Owners to coordinate cross-teamwork.
  • Validate delivered solutions to ensure they address the right problems within the claims process and support compliance and future-ready solutions.

Use your skills to make an impact

Required Qualifications
  • Minimum 5 years of experience in product ownership and/or project management
  • Experience with Agile development processes and tools
  • Must be willing/able to support Eastern Standard Time (EST) business hours


Work-At-Home Requirements
  • At minimum, a download speed of 25 mbps and an upload speed of 10 mbps is recommended; wireless, wired cable or DSL connection is suggested
  • Satellite, cellular and microwave connection can be used only if approved by leadership
  • Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
  • Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information


Preferred Qualifications
  • Undergraduate degree
  • Experience with health insurance claims systems, operational processes, or industry standards
  • Experience with Scaled Agile Framework (SAFe)
  • Certified SAFe® Product Owner/Product Manager


Additional Information
  • As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called HireVue. HireVue Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you.
  • If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview. Your recorded interview will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.


Work at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$94,900 - $130,500 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About CenterWell Primary Care

CenterWell Primary Care Careers

Joining CenterWell Primary Care presents an unparalleled opportunity to advance one's career in a leading healthcare organization that is dedicated to innovation and quality care. CenterWell Primary Care is actively seeking professionals who are passionate about making a difference in the healthcare industry.

Explore Job Opportunities

CenterWell Primary Care offers a variety of job opportunities that enable professionals to grow their careers in an environment that values leadership and diversity. The company is committed to fostering a culture where innovation thrives and leadership skills are honed.

Professional Growth and Development

At CenterWell Primary Care, career growth is a priority. The company supports professional development through comprehensive training programs and opportunities for advancement. Employees are encouraged to expand their skills and knowledge, positioning themselves as leaders in the healthcare sector.

Diversity and Inclusion

CenterWell Primary Care is dedicated to creating a diverse and inclusive workplace. The company believes that diversity training and an inclusive culture are key to innovation and the delivery of exceptional care. Employees from various backgrounds bring unique perspectives that enhance the team's performance and patient outcomes.

Benefits and Culture

Employees at CenterWell Primary Care enjoy a range of benefits designed to support their professional and personal lives. The company's culture is centered on teamwork, respect, and integrity, providing a solid foundation for personal growth and job satisfaction.

Internship Programs

For those starting their career, CenterWell Primary Care offers internship programs that provide hands-on experience in the healthcare field. Interns gain valuable insights and skills, which are crucial for building a successful career in healthcare.

Hiring Process

The hiring process at CenterWell Primary Care is designed to identify candidates who are not only skilled but also passionate about making a difference in healthcare. Prospective employees can expect a thorough interview process where they can showcase their skills and learn more about the company's mission and values.

Networking and Professional Opportunities

CenterWell Primary Care encourages its team to engage in networking opportunities within and beyond the company. This engagement fosters professional connections and collaborative opportunities that can lead to innovative solutions and enhanced patient care.

Join the Team

CenterWell Primary Care is looking for curious, creative, and solution-driven team players. Search open positions that match your skills and interests on the CenterWell Primary Care Jobs page. Tailor your resume to reflect your expertise and prepare for a career that promises both professional and personal growth.

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Explore Careers at CenterWell Primary Care

Discover the rewarding opportunities awaiting at CenterWell Primary Care. With a commitment to employee growth, a diverse culture, and a drive for innovation, CenterWell Primary Care is the perfect place to advance your career in healthcare.
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