Senior Clinical Business Product Owner – UM Intake

🔥 0 minutes ago

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Logo of Centene Corporation

Centene Corporation

10,000+ employees

Founded 1984

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.

📋 Description

• Analyze moderately complex business objectives and engage closely with stakeholders to define product requirements and ensure implementation of the product vision • Own the end-to-end product strategy from concept to production • Research and analyze complex business system issues and develop process improvement recommendations • Lead meetings to surface issues, identify fixes, and advance projects while continuously communicating product objectives • Build a backlog of product features with clearly described, estimated, and prioritized items • Collaborate with technical teams to build modular and reusable solutions • Simulate and test process system improvements with consideration for usability and industry standards • Approve each feature and continuously communicate with technical and business teams to ensure adherence to the product vision and proactively evaluate risks • Drive sprint and release plans and communicate changes to business teams

🎯 Requirements

• Must be authorized to work in the U.S. without employment-based visa sponsorship now or in the future • Experience with UM intake or prior authorization workflows, including intake channels, routing, or turnaround management • Familiarity with healthcare interoperability standards and integrations, including FHIR, HL7, X12, APIs, and EHR systems • Exposure to automation and advanced UM tools, including rules engines, NLP, RPA, and auto-approval capabilities • Bachelor’s degree in Business Administration, Information Technology, or related field, or equivalent experience in lieu of degree • 5+ years of product management experience or equivalent work experience • Deep knowledge of the specified product domain and industry trends • Knowledge of Information Technology • Product Owner, Scrum Master, or Agile Coach experience preferred

🏖️ Benefits

• Competitive pay • Health insurance • 401K plan • Stock purchase plans • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Additional forms of incentives may be included in total compensation

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