Contract Modeling Product Owner

🔥 4 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

✅ Product Manager

👻 Ghost score 11%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Kodiak Solutions

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2005

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Kodiak Solutions is a healthcare-focused SaaS company that provides a cloud-based Revenue Cycle Analytics (RCA) platform and expert services to hospitals and health systems. The company combines a large clinical and financial data pool with proprietary analytics and in-house specialists to optimize revenue cycle operations, improve net revenue, support government reimbursement and compliance, and automate workflows for finance and risk teams. Kodiak primarily serves enterprise healthcare organizations and finance/revenue cycle leaders with data-driven insights, reporting, and advisory solutions.

📋 Description

• Lead the definition and delivery of a healthcare contract modeling platform roadmap, requirements, and product backlog • Translate complex payer contract language into detailed business rules, user stories, and technical specifications • Design and validate reimbursement modeling logic, including DRG, APC, per diem, case rate, stop-loss, outlier, and other payment methodologies • Partner with software engineers, architects, QA teams, and external development partners to deliver scalable product functionality • Support AI-powered contract extraction and automation initiatives by validating contract interpretation, establishing review processes, and defining governance standards • Gather customer and market requirements to enhance future capabilities such as underpayment detection, contract compliance, scenario modeling, revenue forecasting, and strategic pricing

🎯 Requirements

• 5+ years of experience in healthcare reimbursement, managed care contracting, revenue cycle, or contract management • Bachelor's degree required in Healthcare Administration, Business, Finance, Information Systems, or a related field • Expertise interpreting commercial payer contracts and reimbursement models, including DRG, APC, per diem, and case-rate methodologies • Experience gathering business requirements and partnering with software development teams to deliver technology solutions • Strong knowledge of healthcare financial data, claims adjudication, and reimbursement analytics • Candidates must be legally authorized to work in the United States • This position is not eligible for employment visa sponsorship now or in the future • Preferred experience with product ownership, contract modeling platforms, Agile development, and AI-driven document automation