EDI Product Owner

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🏄 California – Remote

🏄 California – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

✅ Product Manager

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Tegria

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2020

⚕️ Healthcare Insurance

💳 Fintech

☁️ SaaS

Healthcare Insurance • Fintech • SaaS

Tegria is a global healthcare consulting and services company that partners with provider and payer organizations to advance care, improve performance, and tackle the biggest challenges in healthcare. They offer a range of services including patient access optimization, data analytics, cloud solutions, and revenue cycle transformation to create value and enhance healthcare delivery. Tegria focuses on streamlining operations, fostering innovation, and leveraging technology to maximize performance and improve patient experiences.

📋 Description

• Define and communicate the vision, roadmap, and priorities for healthcare EDI products and services. • Own the EDI product backlog and prioritize features, enhancements, defects, and technical debt. • Collaborate with business leaders to align EDI initiatives with organizational objectives. • Evaluate industry trends, regulatory changes, and emerging technologies to drive product innovation. • Partner with business operations, claims, enrollment, provider services, finance, compliance, and IT teams to gather requirements and define solutions. • Act as the primary point of contact for EDI-related product decisions and issue resolution. • Develop detailed business requirements, user stories, acceptance criteria, and process flows. • Monitor and improve transaction quality, accuracy, and timeliness. • Ensure EDI products comply with HIPAA, CMS, state regulations, and organizational standards. • Define and monitor key performance indicators (KPIs) for EDI operations and product performance.

🎯 Requirements

• Bachelor's degree in Business, Healthcare Administration, Information Systems, Computer Science, or related field; equivalent experience may be considered. • 5+ years of healthcare EDI, claims processing, enrollment, or healthcare systems experience. • 3+ years of Product Owner, Product Manager, Business Analyst, or equivalent leadership experience. • Strong knowledge of HIPAA X12 transactions and healthcare data exchange standards. • Experience working with healthcare payer, provider, TPA, or managed care organizations. • Experience managing Agile projects and product backlogs. • Strong analytical, problem-solving, and communication skills.

🏖️ Benefits

• We offer a choice of multiple health and dental plans with nationally recognized networks, as well as vision benefits, a total wellness program, and an employee assistance program for you and your family. • We offer competitive wages, retirement savings plans, company-paid disability and life insurance, pre-tax savings opportunities (HSA and/or FSA), and more. • Our lifestyle benefits are unrivaled, including professional development offerings, opportunities for remote work, and our favorite: a generous paid-time-off program, giving you the flexibility to plan a vacation, take time away for illness (or life’s important events), and shift your schedule to accommodate those unexpected curve balls thrown your way.