Product Owner
Apex Systems Inc
Job Description - Modern Product Owner (Provider Domain & AI-Native Product Engineering)
Position Title
Key Responsibilities Provider Domain Leadership
- Act as the primary product lead for provider-centric platforms and workflows.
- Own product vision, roadmap, backlog, prioritization, and execution for provider-related initiatives.
- Drive modernization of provider lifecycle capabilities including:
- Provider onboarding
- Credentialing & recredentialing
- Provider data management
- Contracting & fee schedules
- Network creation and hierarchy management
- TIN/NPI relationships
- Affiliation and participation management
- Directory accuracy and compliance
- Claims integration and adjudication touchpoints
- Member-provider interaction workflows
- Translate complex business processes into scalable digital products and engineering outcomes.
- Define product operating models aligned to agile delivery and value stream principles.
- Create detailed user stories, acceptance criteria, process flows, and product specifications.
- Prioritize work based on business value, operational impact, risk reduction, and customer experience.
- Drive continuous improvement using product analytics, operational metrics, and user feedback.
- Leverage advanced AI tools for:
- Wireframing
- UI/UX ideation
- Workflow diagramming
- Product documentation
- Story generation
- Rapid prototyping
- Process simulation
- Backlog acceleration
- Use modern tools such as:
- Lucidchart / Miro
- Figma AI
- ChatGPT / Claude / Gemini
- AI coding copilots
- Workflow orchestration and visualization tools
- Champion AI-native product delivery practices across teams.
- Possess deep understanding of provider data models and relationships including:
- NPI/TIN structures
- Parent-child hierarchies
- Contract entities
- Locations and specialties
- Network participation
- Affiliation structures
- Roster ingestion and validation
- Data lineage and provenance
- Work closely with engineering and architecture teams on:
- APIs and schema contracts
- Event-driven integrations
- Cloud events
- Data observability
- Traceability and OTEL concepts
- Collaborate with:
- Engineering teams
- Architects
- Provider operations
- Claims teams
- Network management
- Compliance
- Analytics and reporting teams
- Facilitate alignment between business strategy and technology implementation.
- Lead stakeholder workshops, backlog grooming, sprint planning, and product demos.
- Bachelor's degree in Computer Science, Information Systems, Healthcare Administration, or related field.
- 8+ years of experience in Product Ownership, Product Management, Business Architecture, or Provider Operations technology.
- Extensive experience in healthcare payer/provider ecosystems.
- Strong expertise in:
- Provider data management
- Provider contracting
- Network creation and optimization
- Claims and member workflows
- Credentialing operations
- Strong understanding of agile methodologies and modern product operating models.
- Experience working with distributed engineering teams and enterprise platforms.
- Experience with healthcare platforms and ecosystems.
- Familiarity with:
- FHIR
- HL7
- Provider directory standards
- Event-driven architecture
- Graph-based relationship modeling
- Data lineage frameworks
- Exposure to observability frameworks and telemetry concepts.
- Experience with AI-assisted product development and AI-native delivery practices.
Domain Expertise
- Provider Lifecycle Management
- Provider Data & Network Management
- Claims & Member Ecosystem
- Credentialing & Contracting
- Healthcare Operations
- Agile / Scrum
- Product Discovery
- Roadmap Management
- User Story Writing
- Backlog Prioritization
- Process Re-engineering
- AI-powered product tooling
- Workflow visualization
- Wireframing & rapid prototyping
- APIs & schema contracts
- Event-driven architecture
- Data lineage & observability
- Analytical and systems thinking
- Systems thinker with strong operational acumen
- Highly collaborative and execution focused
- Ability to simplify complex provider workflows
- Strong communication and stakeholder management skills
- Bias toward automation, standardization, and measurable outcomes
- Comfortable operating in ambiguity and driving transformation initiatives
- Reduction in provider onboarding and contracting cycle times
- Improved provider data quality and accuracy
- Faster product delivery velocity through AI-assisted workflows
- Increased automation and reduced operational touchpoints
- Improved member and provider experience
- Higher engineering productivity and backlog clarity
Vacancy posted 3 days ago
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