Sr. Data Solution Product Owner - Pharmacy Claims Data - Remote
$94k - $160kPrime Therapeutics
At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Sr. Data Solution Product Owner - Pharmacy Claims Data - Remote Job Description We’re hiring a Sr. Data Solution Product Owner to lead in a fast-paced, complex environment with a strong focus on pharmacy claims data. This role requires someone who can prioritize and can confidently drive outcomes across multiple stakeholders. You’ll take full ownership of the product, build and empower a strong team, and bring structure, clarity, and accountability to a high-volume, high-impact space. We’re looking for someone with a strong presence, and pride in delivering quality results. The Senior Solution Product Owner is responsible for delivering solution products that drive value for our customers. This role is part of a product development team and partners with engineering teams to work with customers to understand business problems, refine and prioritize the product backlog containing user stories, elicit and document software Product Discovery/Definition, and develop and validate solutions for development team members on a day-to-day basis. The Senior Solution Product Owner possesses knowledge of product and product delivery and acts as the primary interface with the Scrum Teams. Responsibilities Act as primary point of contact and decision maker on key product discovery/ definition and features to be developed, including managing product discovery/definition, defining use cases, documentation and user stories for the current sprint, as well as refining and preparing for subsequent sprints Work with the product managers and operations teams to understand product discovery/definition and convert to actionable items on the backlog; own prioritizing and sequencing the product backlog through feature mapping, user story creation, definition of acceptance criteria and loading into the feature/requirement tracking tool Enable product vision from product management and operations teams into actionable product roadmap and releases; own the product backlog, coordinating with stakeholders to align on expectations and visualize what items deliver the most value to the customer through the sequencing of the product backlog and release plans Participate in: sprint planning to help shape the team's specific objectives for the upcoming sprint and daily stand ups to provide real time clarifications necessary to assist the team; the sprint review to show the working solutions completed; and the retrospective to contribute to improve how the team collaborates and works together Monitor ongoing performance and usage of features and acts as point of contact for questions, concerns and suggestions; provides input on test strategy and test cases, being an advocate of quality solutions that meet or exceed defined customer expectations; perform reviews with key internal teams and commercial customers throughout the product lifecycle to ensure alignment on solution needs and product discovery/definition; ensure full-stack product ownership, upkeep, maintenance and sustainability for the product Develop strong relationships with all development, internal groups, and customers in order to ensure timely and effective delivery of software features and defect resolution; create and maintain long-term working relationships with product management, technology teams, functional counterparts, third parties, customer service, go to market, and customers Collaborate with other team members to identify and prioritize key product documentation as needed Monitor the functional/product landscape for changes in competitive positioning Other duties as assigned Minimum Qualifications Bachelor's degree in IT, Business, Healthcare Administration or related area of study, or equivalent combination of education and/or relevant work experience; High School diploma or GED is required 5 years of work experience leading business processes, system changes and/or similar relevant business experience Must be eligible to work in the United States without need for work visa or residency sponsorship Must be eligible to work in the United States without the need for work visa or residency sponsorship Additional Qualifications Pharmacy Claims Data and/or a Product Owner of Data Proven ability to influence at all levels of an organization Demonstrated application of strong market awareness and customer focus Demonstrated ownership of complex, timely decisions Ability to communicate technical and business information effectively to both technical and non-technical people Preferred Qualifications Experience working in an agile environment Experience with commercial software design concepts, practices, and procedures 5 or more years of work experience writing Product Discovery/Definition for software in a Product Owner role SAFe Product Owner / Product Manager (POPM) Certification Experience with minimum viable product, Scrum, and/or Lean startup Experience developing Product Discovery/Definition for commercial software products User Experience (UX) Design experience Experience delivering on premise and cloud/mobility products Experience in Pharmacy Benefit Management (PBM) or related industry Technical background and experience with any of the following technologies and architectures: service- oriented architecture, web services, databases, modeling and/or distributed computing Experience with change management and leading change Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job. Potential pay for this position ranges from $94,000.00 - $160,000.00 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail ( Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law. Prime Therapeutics LLC is a Tobacco-Free Workplace employer. Positions will be posted for a minimum of five consecutive workdays. At Prime Therapeutics (Prime), we are a different kind of PBM. We’re reimagining pharmacy solutions to provide the care we would want for our loved ones. That purpose energizes our team and creates limitless opportunities to make a difference. We know that people make all the difference. If you’re ready for a purpose-driven career and are passionate about simplifying health care, let’s build the future of pharmacy together. Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law. Prime Therapeutics LLC is a Tobacco-Free Workplace employer. If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at email View email address on click.appcast.io.
$94.9k - $130.5k
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...people with the care, pharmacy benefits, data and resources they... ...flexibility to work remotely * from anywhere within... ...actuarial and analytical solutions Support in the... ...handling healthcare claims datasets 3+ years of... ...proficiency in MS Office products: Excel, Word, PowerPoint...Remote jobDataSeniorClaimsMinimum wageFull timeWork experience placementLocal area$72.8k - $130k
...connecting people with the care, pharmacy benefits, data and resources they need to... ...the flexibility to work remotely from anywhere within the U.... ...with detailed healthcare claims data to build and maintain... ...cutting-edge actuarial/analytic solutions. You’ll be rewarded and...Remote jobDataSeniorClaimsMinimum wageFull timeWork experience placementWork at officeLocal area$79.1k - $129.95k
...year Position: Senior Product Owner (Full Time, Salary, Exempt... ...and provide unique solutions. Role and Key... ...stakeholders, customers, and data analytics. Compliance... ...metrics (policy uptake, claims efficiency, customer... ...& Perks - Hybrid and remote opportunities, wellness...Remote workDataSeniorClaimsWeekly payFull timeTemporary workWork experience placementWork at officeFlexible hours- ...candidate has over 3 years of experience in data analytics and pharmacy consulting, ensuring the delivery of insightful... ...with stakeholders to develop reporting solutions and provide strategic insights on pharmacy claims and healthcare trends. #J-18808-Ljbffr TransformcapRemote jobDataSeniorClaims
$72.8k - $130k
...people with the care, pharmacy benefits, data and resources... ...week * * * The Sr. Business Analyst... ...management platforms, claims adjudication... ...repeatable approach to solutioning, and deliver... ...to work remotely from anywhere within... ...regression testing and production validation for...Remote jobDataSeniorClaimsMinimum wageFull timeWork experience placementWork at officeLocal area$60k - $130k
...Solution Sales Executive Optum Insight is improving the flow of health data and information to create a more connected... ...focused on OptumInsight's Pharmacy Network Solutions,... ...solutions help speed claims to payers, validate... ...cycles. This is a remote role to candidates within...Remote jobDataClaimsMinimum wageFull timeContract workWork experience placementWork at officeLocal areaWorldwide$71.1k - $97.8k
...is looking for a Senior Pharmacy Professional based in... ...senior-level pharmacy claims and advisory position focused... ...timely and accurate solutions. Lead pharmacy... ...Analyze pharmacy utilization data to identify trends,... ...and life insurance. ~ Remote work flexibility with occasional...Remote jobDataSeniorClaimsFull timeTemporary work$140k - $160k
...comprehensive suite of solutions for employers and... ...full-service pharmacy benefit management... ...consolidates all claim administration-related... ...as a Senior Data Engineer (Analytics... ...power analytics and products. Position Responsibilities... ...of the job. Remote, US Salary Range...Remote workDataSeniorClaimsLocal areaFlexible hours$80.01k - $100.01k
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...Sr Client Service Specialist The Baldwin Group... ...professionals to analyze client data, evaluate needs, and... ...risk management solutions designed to meet clients... ...for errors and omissions claims. Responsible for... ...remaining days worked remotely. Specific in-office days...Remote workDataSeniorClaimsContract workWork at office3 days per week$120k - $135k
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$147k - $198k
...everything we do. Our product is arguably the most sophisticated... .... We’re looking for a SOLUTION ARCHITECT who delights... ...you have a passion for data, multi‑dimensional... ...your career #LI-REMOTE Base Salary Range: $1... ...emails and correspondence, claiming they are...Remote workDataSeniorClaims- Overview AnewHealth is a national pharmacy care management company... ...Engagement Center of Excellence, a remote, phone‑based position focused... .... Enter high volumes of data, processing prescription information... ...or transfers. Perform claim adjudication and auditing duties...Remote workDataSeniorClaimsFull timeTemporary workFlexible hours
$210k - $240k
...and scale SmarterDx’s solution revenue cycle solution... ...understand healthcare data flows, EHR integrations... ...vendor. This role is fully remote within the US. What... ...Partner with Implementation, Product, and Engineering teams... ...charge capture through claims processing. Hands‑on...Remote workDataSeniorClaims$65 - $75 per hour
Senior Product Manager, Data Integration Platform (CONTRACT) US - Remote Transcarent is looking for a Senior Product Manager... ..., governing how eligibility, claims, pharmacy, and other enterprise... ...medical, pharmacy, and point solutions together with the WayFinding™...Remote jobDataSeniorClaimsContract workFlexible hours$91.7k - $163.7k
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..., governance, and data exchange to pharma... ...Dataverse (IDV®) open claims platform, Synoma®... ...EMR, 90% retail pharmacy Rx coverage, 67%... ...are hiring our SVP, Product to lead the... ...margin, differentiated solutions. How to Apply... ...Approved States for Remote Work: CT, DE, FL,...Remote workDataSeniorClaimsContract workWork at officeLocal areaFlexible hours3 days per week- ...performance of healthcare EDI solutions, the full-time California Licensed EDI Product Owner will manage product... ...EDI capabilities in a remote environment. Key... ...years of healthcare EDI, claims processing, enrollment,... ...transactions and healthcare data exchange standards...Remote workDataClaimsFull time
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$66k - $106k
...Come build the future of pharmacy with us. Job Posting Title... ...Provider Relations Analyst Sr (Contract Negotiation) - Remote Job Description The... ...solve and interpret complex data Proficiency within Microsoft... ...with RxClaim system or other claims processing experience...Remote jobDataSeniorClaimsContract workWork experience placementLocal areaVisa sponsorshipWork visa- Senior Solutions Architect, Financial Services Remote, US GitLab is the intelligent orchestration platform... ...organizations to increase developer productivity, improve operational... ...Limited, used under license. Claim based on GitLab data. Fortune 100 refers to the top...Remote jobDataSeniorClaims
$89.9k - $160.6k
...people with the care, pharmacy benefits, data and resources they... ...flexibility to work remotely * from anywhere within... ...improvement of existing solutions Define and develop... ...Assist in defining product technical architecture... ...years of Healthcare Claims data experience Experience...Remote workDataSeniorClaimsMinimum wageFull timeWork experience placementLocal area$110k - $130k
...Summit Human Capital is seeking a 100% Remote Sr. Product Owner supporting one of our Fortune 500... ...Product Owner within software development, data engineering, AI/ML, or cloud... ...technical staff to confirm the overall solutions meet business requirements • Collaborates...Remote workDataSeniorFull time$48 - $60 per hour
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