Product Owner

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

✅ Product Manager

👻 Ghost score 10%

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Medical Review Institute of America, LLC

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1983

🛡️ Insurance

💼 Consulting

⚖️ Legal

Insurance • Consulting • Legal

Medical Review Institute of America, LLC is a company specializing in clinical and utilization review services. They offer a comprehensive suite of data-driven solutions, including prior authorization optimization, second opinions, and specialty drug reviews, aimed at ensuring the right care is delivered at the right time and in the right place. MRIoA provides services to health plans, pharmacy benefit managers, government entities, and self-insured employers, among others. They leverage technology and a network of professionals to streamline clinical decisions, enhance provider performance, and ensure compliance with regulatory requirements across all 50 states. Their tools and platforms are designed to optimize clinical reviews, reduce costs, and improve patient outcomes through evidence-based care pathways and telehealth solutions.

📋 Description

• Own product strategy, roadmap, requirements, UI design direction, business process definition, reporting and data requirements, and prioritization for an assigned portfolio of operations and utilization review tools • Serve as accountable business owner for user acceptance testing, business readiness, and adoption of delivered solutions • Act as primary point of consultation with Architecture, Engineering, and QA organizations throughout the product development lifecycle • Monitor progress against roadmap commitments and adjust priorities as business needs change • Manage intake for new requests and enhancements, assessing business value, complexity, urgency, and dependencies • Facilitate prioritization discussions and document decisions regarding scope, priorities, and funding • Maintain visibility into active, pending, and future initiatives and align business demand with delivery capacity • Lead requirements gathering sessions, discovery workshops, and business process reviews • Document current-state and future-state processes and define functional, UI, data, reporting, integration, and non-functional requirements • Maintain traceability between requirements, user stories, testing, and delivered functionality • Manage requirements changes throughout the project lifecycle • Create and maintain product backlogs, epics, features, and user stories • Prioritize backlog items and participate in backlog grooming and sprint planning • Clarify requirements during development and testing • Define business priorities and delivery expectations; collaborate on estimates and delivery plans • Establish milestones and release targets, monitor roadmap execution, and communicate schedule changes • Coordinate business readiness activities for releases • Identify and mitigate business, operational, compliance, and stakeholder risks • Manage stakeholder communication and support organizational readiness and training/adoption • Coordinate UAT, validate solutions against requirements and acceptance criteria, and facilitate defect prioritization • Define release objectives and success measures and coordinate stakeholder communications • Ensure training materials and job aids are available and support production deployment • Measure adoption and business outcomes following release • Monitor product adoption and utilization, gather feedback, identify enhancements, and continuously improve products, processes, and user experience • Maintain long-term product strategy and roadmap • Consult with Architecture, Engineering, and QA on feasibility, standards, requirements, test strategy, and release readiness • Ensure HIPAA, utilization review, and healthcare regulatory requirements are reflected in business requirements

🎯 Requirements

• Bachelor’s degree in business, healthcare administration, information systems, or a related field, or equivalent professional experience • Minimum of 3 to 5 years of experience as a Business Analyst, Product Owner, or Product Analyst • Experience in health insurance, healthcare, or managed care environments preferred; utilization management experience is a plus • Demonstrated ownership of a product backlog or roadmap and making prioritization decisions based on business value, risk, and cost • Strong experience writing detailed, testable business requirements and user stories with clear acceptance criteria • Experience coordinating UAT and business readiness activities, including stakeholder communication and training/adoption planning • Comfortable operating within a defined RACI model • Working knowledge of Jira or similar tools for backlog management, sprint planning, and requirements traceability • Familiarity with Power BI or similar reporting and dashboarding tools is preferred • Strong working knowledge of utilization review operations, healthcare regulatory requirements, and the company’s clients, products, and workflows • Working knowledge of HIPAA • Ability to sit at a desk and utilize a computer, telephone, and other basic office equipment • Required to pass a background screen and drug screen before or upon beginning employment • Required to adhere to applicable HIPAA regulations and company confidentiality, privacy, and security policies

🏖️ Benefits

• A competitive compensation package • Healthcare, vision and dental insurance • Generous 401k match • Paid vacation, personal time, and holidays • Growth and training opportunities • Award-winning remote work environment