Product Owner - Smart claims
American Cybersystems, Inc.

Innova Solutions is immediately hiring a Product Owner - Smart claims

Position type: Contract
Duration: 12 Months
Location: Remote

As a Product Owner - Smart claims, you will:

We are seeking an experienced Product Owner specializing in Smart Claims Engine (SCE) to lead the design, delivery, and optimization of claims management solutions. In this role, you will bridge the gap between business needs and technical implementation, ensuring seamless and efficient claims processing that aligns with organizational goals and industry standards.

Key responsibilities:

Product Leadership:
Define and own the product vision and roadmap for the Smart Claims Engine (SCE).
Align product features and priorities with stakeholder needs, compliance requirements, and market trends.
Requirements Gathering:
Collaborate with business teams, clients, and technical stakeholders to elicit, document, and refine requirements related to claims processing.
Translate business needs into detailed user stories and acceptance criteria.
Claims Process Expertise:
Leverage deep knowledge of claims management workflows to identify and implement process improvements.
Design and configure SCE features to enhance efficiency, accuracy, and compliance in claims adjudication.
System Integration:
Oversee the integration of SCE with other enterprise systems, ensuring data accuracy and interoperability.
Collaborate with technical teams to design APIs, data exchange mechanisms, and seamless system workflows.
Quality Assurance:
Define and validate acceptance criteria for SCE-related features to ensure alignment with business objectives.
Participate in testing, deployment, and post-deployment support to ensure product reliability and performance.
Stakeholder Engagement:
Act as the primary liaison between business users, technical teams, and leadership to provide updates and gather feedback.
Conduct product demos and training sessions for stakeholders.
Continuous Improvement:
Monitor system performance and user feedback to identify opportunities for optimization.
Implement enhancements to improve claims processing efficiency and user satisfaction.

Education Skills:

Bachelor's or master's degree in computer science, Business Administration, Healthcare Informatics, or a related field.
Certifications in Agile methodologies (e.g., Certified Scrum Product Owner) or relevant technical certifications are a plus.

Preferred Skills:

Experience with DevOps practices and tools for CI/CD pipeline management.
Knowledge of healthcare analytics and reporting tools.
Familiarity with cloud-based systems and containerization technologies like Docker.

Required Skills:

Smart Claims Engine (SCE) Expertise:
Proven experience in configuring and optimizing the Smart Claims Engine (SCE) for healthcare or insurance claims processing.
Deep understanding of claims adjudication workflows, rules, and industry standards.
Product Ownership Skills:
Experience as a Product Owner in Agile environments, with a strong track record of delivering high-quality products.
Proficiency in creating user stories, managing product backlogs, and facilitating Agile ceremonies.
Technical Acumen:
Familiarity with integration protocols like APIs and standards such as EDI, HL7, or FHIR.
Knowledge of claims data structures and relational databases.
Healthcare Domain Knowledge:
Strong understanding of payer systems, claims processing regulations, and compliance standards such as HIPAA.
Soft Skills:
Excellent communication, interpersonal, and stakeholder management abilities.
Strong analytical skills with attention to detail and a problem-solving mindset.

Qualified candidates should APPLY NOW for immediate consideration! Please hit APPLY to provide the required information, and we will be back in touch as soon as possible.
We are currently interviewing to fill this and other similar positions. If this role is not a fit for you, we do offer a referral bonus program for referrals that we successfully place with our clients, subject to program guidelines.
ASK ME HOW.
Thank you

Kiran Vajrala
Manager

PAY RANGE AND BENEFITS:
Pay Range: 112,000 $ - 131,500 $ Per Year
Pay range offered to a successful candidate will be based on several factors, including the candidate's education, work experience, work location, specific job duties, certifications, etc.

Benefits: Innova Solutions offers benefits( based on eligibility) that include the following: Medical & pharmacy coverage, Dental/vision insurance, 401(k), Health saving account (HSA) and Flexible spending account (FSA), Life Insurance, Pet Insurance, Short term and Long term Disability, Accident & Critical illness coverage, Pre-paid legal & ID theft protection, Sick time, and other types of paid leaves (as required by law), Employee Assistance Program (EAP).

ABOUT INNOVA SOLUTIONS: Founded in 1998 and headquartered in Atlanta, Georgia, Innova Solutions employs approximately 50,000 professionals worldwide and reports an annual revenue approaching $3 Billion. Through our global delivery centers across North America, Asia, and Europe, we deliver strategic technology and business transformation solutions to our clients, enabling them to operate as leaders within their fields.

Recent Recognitions:

• Named One of America's Best Employers for New Grads by Forbes (2024)
• Named One of the Best Companies to Work For by U.S. News & World Report (Private Companies List, 2024-2025)
• One of the Largest IT Staffing Firms in the US - Ranked #3 by Staffing Industry Analysts (SIA, 2024)
• One of the Largest Staffing Firms in the US - Ranked #13 by Staffing Industry Analysts (SIA, 2024; includes Innova Solutions, Volt, & HireGenics)
• Named One of the Top Ten Private Companies in Atlanta by the Atlanta Business Chronicle (2023)
• One of the Largest Certified Minority Business Enterprises (MBEs) in the United States (NMSDC, 2024)
• AWS Advanced Tier Services Partner with 100+ certifications

Website: https://www.innovasolutions.com/

Innova Solutions is an Equal Opportunity Employer and prohibits any kind of unlawful discrimination and harassment. Innova Solutions is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment on the basis of race, color, religion or belief, national origin, citizenship, social or ethnic origin, sex, age, physical or mental disability, veteran status, marital status, domestic partner status, sexual orientation, or any other status protected by the statutes, rules, and regulations in the locations where it operates. If you are an individual with a disability and need a reasonable accommodation to assist with your job search or application for employment, please contact us at hr@innovasolutions.com or (770) 493-5588. Please indicate the specifics of the assistance needed. Innova Solutions encourages all interested and qualified candidates to apply for employment opportunities. Innova Solutions (HireGenics/Volt) does not discriminate against applicants based on citizenship status, immigration status, or national origin, in accordance with 8 U.S.C. § 1324b. The company will consider for employment qualified applicants with arrest and conviction records in a manner that complies with the San Francisco Fair Chance Ordinance, the Los Angeles Fair Chance Initiative for Hiring Ordinance, and other applicable laws.

---