Product Owner - Group Health
The Group Health Product Owner serves as the subject matter expert for Prime Health’s Commercial Group Health solutions. Reporting to the Director of Product, this role is responsible for translating product priorities and business needs into clear, actionable work for Engineering and supporting the successful delivery of enhancements, features, and product improvements. This role requires expertise in Commercial Group Health claim processing, including the No Surprises Act, ERISA-related claim considerations, Qualifying Payment Amounts, claim scrubbing, large dollar negotiations, PPO network workflows, and out-of-network cost containment solutions.
What You'll Do
- Serve as the product subject matter expert for assigned Group Health solutions and product functionality
- Translate business needs, client requests, and operational workflows into clear product requirements
- Support claim-related solutions involving PPO networks, out-of-network claims, claim scrubbing, large dollar claim review, No Surprises Act, ERISA, and Qualifying Payment Amount concepts
- Provide day-to-day product clarification and decision support during development
- Partner with Product Analysts, Engineering, QA, and the Agile Delivery Manager to support sprint readiness and delivery execution
- Support user acceptance testing, validation, product demos, training, and stakeholder walkthroughs
- Serve as a product resource for internal teams when questions arise about Group Health solutions, functionality, or client-specific needs
- Support Implementation and Client Services through product knowledge transfer and workflow clarification
- Help identify product improvement opportunities based on feedback from clients, prospects, and internal stakeholders