HRP Product Owner

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🕒 Abril 3

🐊 Florida – Remoto

🐊 Florida – Remote

⏰ Tempo Integral

🟠 Sênior

🔴 Especialista

✅ Gerente de Produto

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Integrated Home Care Services, Inc.

SiteLinkedInTodas as Vagas

501 - 1000 funcionários

Fundada em 2015

⚕️ Seguro de Saúde

🤝 B2B

Healthcare Insurance • B2B

A Integrated Home Care Services, Inc. é uma gestora integrada de benefícios de cuidados domiciliares que coordena e gerencia serviços de saúde domiciliar baseados em valor, equipamentos médicos duráveis e infusões domiciliares para pacientes e membros em nome de planos de saúde e prestadores de serviço. Ela oferece desenvolvimento de rede e credenciamento, gestão de utilização, adjudicação de sinistros, análises e uma plataforma habilitada por tecnologia para referências, documentação em tempo real e acesso 24/7 aos serviços, visando reduzir custos, melhorar resultados e simplificar a administração para pagadores, provedores e pacientes.

Descrição

• Maximizing the value, stability, and evolution of the company’s HealthRules Payor (HRP) platform • Serving as the primary steward of the HRP product ecosystem • Managing and governing the vendor(s) that provide configuration, development, and production support services for HRP • Overseeing performance, prioritizing work, ensuring adherence to SLAs, and driving high-quality delivery • Acting as a trusted advisor to business leaders, IT leadership, and the PMO

🎯 Requisitos

• Bachelor’s degree in Business, Information Systems, Computer Science, Healthcare Administration, or a related field • 7–10 years of experience working with payer systems, ideally including HealthRules Payor • Minimum 5 years working in roles such as product owner, business systems manager, business analyst lead, or system SME within a healthcare payer environment • Proven experience managing third-party vendors (preferably VENDOR(S) or similar HRP partners) • Strong understanding of payer business processes: claims adjudication, benefits configuration, provider data, enrollment/membership, billing, and regulatory compliance • Demonstrated ability to translate business requirements into technical system solutions • Exceptional communication and stakeholder-management skills • Experience leading or partnering on large systems implementations or enhancements

🏖️ Benefícios

• Medical, Vision, Dental, Short- and Long-term insurance • 6+ Days of Holidays Pay • 17 days of PTO • Employer paid life insurance • 401K with employer contribution • Wellness program with reward incentives • Employee recognition and reward programs • Comprehensive paid training program