Product Owner – Healthcare PDM / PLM / Capitation

Product Owner – Healthcare PDM / PLM / Capitation

Location: Remote – USA
Job Type: Contract
Experience: 5+ Years
Domain: Healthcare Payer / Health Plan / Managed Care

Job Summary

Seeking an experienced Product Owner with strong expertise in Provider Data Management (PDM), Provider Lifecycle Management (PLM), and Healthcare Capitation to lead Agile product initiatives.

Key Responsibilities

• Own and prioritize product backlogs for PDM, PLM, and Healthcare Capitation.

• Define Epics, User Stories, Acceptance Criteria, and product requirements.

• Manage provider lifecycle processes including onboarding, enrollment, credentialing, contracting, maintenance, and termination.

• Drive Provider Data Management, data quality, and provider network initiatives.

• Support provider assignments, capitation payments, reconciliation, and disbursement.

• Collaborate with Provider Network, Finance, Actuarial, Operations, and Engineering teams.

• Lead Sprint Planning, Backlog Refinement, Sprint Reviews, and UAT.

• Manage defects, production validation, releases, risks, and dependencies.

• Ensure compliance with CMS, Medicare/Medicaid, HIPAA, and provider contracts.

• Track KPIs related to provider data quality, lifecycle processing, payment accuracy, and reconciliation.

Required Skills

• 5+ years as Product Owner / Product Manager / Business Analyst in Agile environments.

• Strong Healthcare Payer / Health Plan / Managed Care experience.

• Provider Data Management (PDM) – Primary

• Provider Lifecycle Management (PLM) – Primary

• Healthcare Capitation – Primary

• Provider Network Management

• Provider Enrollment & Credentialing

• Provider Contracting

• Product Backlog, Epics, User Stories & Acceptance Criteria

• UAT, Defect Management & Production Sign-off

• Agile / Scrum / SAFe

• Jira / Confluence

• SQL preferred

Primary Skill Set

Product Owner | PDM (Provider Data Management) | PLM (Provider Lifecycle Management) | Healthcare Capitation | Provider Network Management | Healthcare Payer / Managed Care