EDI Product Owner
Remote · California, United States
Job Summary
EDI Product Owner responsible for the strategic direction, development, enhancement, and operations of healthcare EDI solutions enabling payer/provider/vendor integrations. Serves as liaison between business stakeholders, operations, technology teams, and external trading partners to ensure EDI products meet regulatory requirements and customer needs. Manages product backlog, defines requirements, prioritizes features, and drives delivery of EDI capabilities supporting transactions such as claims, eligibility, enrollment, remittance, authorizations, and provider data exchange. Key duties include defining vision and roadmap, backlog grooming, sprint planning, UAT support, ensuring HIPAA/X12 compliance, coordinating onboarding of trading partners, and delivering operational improvements through data-driven KPIs and governance.
Required Qualifications
- Bachelor's degree in Business, Healthcare Administration, Information Systems, Computer Science, or related field
- 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
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