Sr Product Owner, State & Payer Solutions (Product Owner III) - REMOTE

Posted 2 Days Ago
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Hiring Remotely in Pittsburgh, PA, USA
In-Office or Remote
103K-129K Annually
Senior level
Healthtech
The Role
Lead product ownership and business analysis for State & Payer Solutions, translating payer policy and regulatory requirements into product and analytical specifications. Own backlogs, define epics/features/user stories, collaborate with Engineering and Data Science, validate analytics and reporting, support sales/RFPs, and mentor peers to deliver value-based care software and reporting solutions.
Summary Generated by Built In

About Net Health  

Belong. Thrive. Make a Difference.  

Are you looking for a meaningful and satisfying career where you have endless opportunities to grow and be financially rewarded? Net Health may be the perfect place for you.   

A high-growth and profitable company, we help caregivers harness data for human health. We also honor and respect the needs of our Net Health family and staff, which is why we offer a work-from-anywhere environment and unlimited PTO. Our welcoming and collaborative culture paired with progressive benefits makes Net Health the ultimate career home! 

As a leading-edge SaaS company in healthcare, we deliver solutions that help patients get better, faster, and live more fulfilling lives. Our software and predictive analytics cover the continuum of care, from hospital-to-home, across various medical specialties. Come join us and start the next chapter of your exciting career while helping others to live better lives.  

World-Class Benefits That Reflect Our World-Class Culture. 

Click Here to Learn More!: 

#WorkFromAnywhere #UnlimitedPTO #ComprehensiveBenefitsPackage #EmployeeResourceGroups #CasualDressCode #PrioritizedEmployeeWellness #DiversityAndInclusion #AVoice #NewHireSupport #CareerDevelopment #EducationalAssistance #EmployeeReferralBonus #ProgressiveParentalLeave    

JOB OVERVIEW

The Senior Product Owner, State & Payer Solutions is a senior individual contributor within the Value-Based Care Solutions (VBCS) organization who owns both product ownership and business analysis for software, analytics, and reporting solutions supporting State Medicaid Agencies, health plans, and provider organizations in value-based care programs. This role combines Agile Product Ownership with senior business analysis and deep healthcare payer domain expertise — spanning Medicaid policy, quality measurement (HEDIS, CMS Core Sets), and value-based payment models — serving as the business owner for assigned products from requirements through delivery.

The Senior Product Owner works closely with Product Management, Engineering, Data Science, Client Success, and external stakeholders to define solution requirements, prioritize development, validate deliverables, and ensure products meet business objectives and client needs.

RESPONSIBILITIES AND DUTIES

  • Product & Solution Leadership: In partnership with Product Management, execute the strategic roadmap for State & Payer Solutions products and capabilities.
    • Maintain deep expertise in healthcare payer operations, value-based care, quality measurement, healthcare data, and regulatory requirements.
    • Translate market needs, client feedback, regulatory changes, and business strategy into product capabilities and development priorities.
    • Identify opportunities to improve workflow, automation, reporting, interoperability, and user experience.
    • Participate in industry thought leadership, client advisory activities, conferences, and product demonstrations.
    • Support Sales with product expertise, demonstrations, RFP responses, Statements of Work, and solution design.
  • Product Ownership & Business Analysis: Own the Agile delivery lifecycle and lead business analysis for assigned software and analytics initiatives.
    • Own and prioritize multiple product backlogs; define Epics, Features, User
    • Stories, Acceptance Criteria, and business rules.
    • Conduct discovery sessions with internal stakeholders, clients, state agencies, and health plans; analyze operational workflows, payment methodologies, and business processes.
    • Translate business, regulatory, policy, and operational requirements into detailed functional specifications, workflow diagrams, and data mapping.
    • Lead backlog refinement, sprint planning, and sprint acceptance; accept or reject completed work against established acceptance criteria.
    • Validate delivered functionality against business requirements and operational outcomes; identify opportunities for process improvement.
    • Manage cross-team dependencies and competing priorities across multiple initiatives.
  • Analytics & Data Science Partnership: Serve as the primary liaison between Product Management and the Data Science organization.
    • Define business requirements for analytics, dashboards, performance reporting, and data products.
    • Collaborate on implementation of quality measures, payment methodologies, benchmarking, predictive analytics, and performance measurement.
    • Translate business and regulatory requirements into analytical specifications.
    • Validate methodologies, calculations, reporting outputs, and business logic.
    • Partner with Data Science to ensure analytical deliverables satisfy contractual, regulatory, and client requirements.
    • Develop and maintain business documentation supporting analytical methodologies and reporting specifications.
  • Cross-Functional Leadership: Build partnerships across the organization to ensure successful delivery.
    • Collaborate across Engineering, QA, Product Management, Data Science, Client Success, Sales, Marketing, Compliance, and Executive Leadership to communicate priorities, risks, dependencies, and timelines, and facilitate decision-making.
    • Mentor Product Owners and Business Analysts by sharing best practices and domain expertise.
    • Contribute to continuous improvement of Agile delivery, business analysis, and product management processes.

QUALIFICATIONS

  • Bachelor’s degree in Healthcare Administration, Business Administration, Information Systems, Computer Science, Nursing, Public Health, or related field; or equivalent combination of education and experience.
  • 4+ years of experience serving as both a Product Owner and Business Analyst (or equivalent blended role) in Product Management, Business Analysis, Healthcare Consulting, or related healthcare technology roles, with demonstrated success on complex software development initiatives.
  • Strong understanding of Agile methodologies, Scrum practices, and software development lifecycles.
  • Experience defining functional requirements, user stories, acceptance criteria, workflows, and business rules.

Preferred:

  • Experience working with State Medicaid Agencies, Medicaid Managed Care Organizations (MCOs), other health plans, or healthcare technology vendors serving the payer market.
  • Experience with healthcare consulting firms supporting payer or government healthcare programs.
  • Experience translating healthcare policy, payment methodologies, quality programs, and business/operational requirements into software and analytical solutions.
  • Experience partnering with Data Science, Business Intelligence, or Analytics teams to define business requirements and validate analytical deliverables.
  • Knowledge of HEDIS, CMS Adult and Child Core Sets, quality measurement, value-based payment, healthcare interoperability, and healthcare data standards.
  • Product Owner certification (CSPO, PSPO, SAFe POPM, or equivalent) preferred.

REQUIRED SOFTWARE EXPERIENCE

  • Jira, Confluence, Azure DevOps, or equivalent Agile product management tools
  • Business Intelligence platforms (Power BI, Tableau, Sisense, or similar)
  • SQL or equivalent data query experience preferred
  • Microsoft 365 (Word, Excel, PowerPoint, Outlook)
  • AI tool experience (any platform); willing to adopt company-designated tools as they evolve
  • Healthcare analytics, reporting, or data warehouse environments preferred

Note: This job description is not intended to be all-inclusive. Employees may perform other related duties as requested to meet the ongoing needs of the organization.

Salary Range: $103,200.00- $129,000.00 USD

A word on Al-assisted candidate fraud & deepfakes: Our company maintains a zero-tolerance policy for the use of Al tools to misrepresent a candidate's skills, experience, or qualifications during the hiring process. We utilize advanced screening methods to detect such practices and reserve the right to disqualify and report candidates who violate this policy.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Skills Required

  • Bachelor's degree in Healthcare Administration, Business, Information Systems, Computer Science, Nursing, Public Health, or equivalent experience
  • 4+ years experience serving as both a Product Owner and Business Analyst on complex software initiatives
  • Deep expertise in healthcare payer operations, Medicaid policy, quality measurement (HEDIS, CMS Core Sets), and value-based payment models
  • Strong understanding of Agile methodologies, Scrum practices, and software development lifecycles
  • Experience defining functional requirements, user stories, acceptance criteria, workflows, and business rules
  • Experience owning and prioritizing product backlogs, leading backlog refinement, sprint planning, and sprint acceptance
  • Experience with Agile product management tools: Jira, Confluence, Azure DevOps (or equivalent)
  • Experience with Business Intelligence platforms (Power BI, Tableau, Sisense, or similar)
  • Microsoft 365 (Word, Excel, PowerPoint, Outlook) proficiency
  • AI tool experience (any platform) and willingness to adopt company-designated tools
  • SQL or equivalent data query experience
  • Experience partnering with Data Science, Business Intelligence, or Analytics teams to define and validate analytical deliverables
  • Experience working with State Medicaid Agencies, Medicaid MCOs, health plans, or healthcare consulting supporting payer/government programs
  • Product Owner certification (CSPO, PSPO, SAFe POPM, or equivalent)
  • Knowledge of HEDIS, CMS Core Sets, healthcare interoperability, and healthcare data standards
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The Company
HQ: Pittsburgh, PA
560 Employees
Year Founded: 1993

What We Do

Our solutions support providers in specialty medical settings across the continuum of healthcare—from hospital to home. Our interoperable EMRs deliver end-to-end solutions that ensure compliance, improve outcomes, empower providers and inspire care. We serve over 14,000 facilities, including 98% of the largest hospital chains, two thirds of skilled nursing facilities and many leading hospice organizations and private practices. Net Health is a portfolio company of The Carlyle Group, Level Equity and Silversmith Capital Partners.

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