We are seeking an experienced Product Owner (Health Plan Regulatory Requirements) to lead the strategic and operational delivery of provider-focused transformation initiatives within a healthcare payer environment. This role will act as the bridge between business stakeholders and Agile delivery teams, translating transformation objectives into actionable requirements and ensuring successful execution of provider enrollment, credentialing, contracting, network management, and provider data modernization initiatives.
In this role, you will:
· Own and prioritise the Provider Transformation product backlog, translating business objectives into epics, features, user stories, and acceptance criteria to drive Agile delivery.
· Ensure solutions comply with health plan regulatory requirements (e.g., CMS, state Medicaid/Medicare, NCQA credentialing standards) and payer-provider data standards (e.g., 834/835/837 EDI transactions where applicable).
· Collaborate with Provider Network Operations, Claims, Credentialing, Configuration, and other transformation workstream owners to align priorities and manage interdependencies across the program.
· Define and track transformation success metrics and KPIs (e.g., provider data accuracy, credentialing turnaround time, directory accuracy, process cycle-time reduction) to demonstrate progress against the transformation business case.
· Lead Agile ceremonies, support release planning, and validate delivered solutions to ensure business value and adherence to acceptance criteria.
· Assess current-state provider processes and systems, identify improvement opportunities, and drive transformation initiatives that enhance operational efficiency and provider experience.
· Ensure compliance with healthcare regulations and industry standards while tracking key transformation KPIs, supporting UAT, change management, and successful go-live activities.
Work model
We strive to provide flexibility wherever possible. Based on this role’s business requirements, this is a remote position open to qualified applicants in United States. Regardless of your working arrangement, we are here to support a healthy work-life balance though our various wellbeing programs. Regardless of your working arrangement, we are here to support a healthy work-life balance though our various wellbeing programs. The working arrangements for this role are accurate as of the date of posting. This may change based on the project you’re engaged in, as well as business and client requirements. Rest assured; we will always be clear about role expectations.
What you need to have to be considered
· 5+ years of experience as a Product Owner, within Agile/Scrum environments, with proven product backlog management expertise.
· Demonstrated knowledge of health plan provider operations — provider enrollment, credentialing, contracting, network management, and/or provider data management (Health Net or comparable managed care/health plan experience strongly preferred).
· Experience supporting large-scale business or technology transformation programmes, including roadmap planning, process transformation, and cross-functional dependency management.
· Strong knowledge of healthcare payer/provider operations, including provider enrolment, credentialing, contracting, network management, and provider data management.
· Solid understanding of healthcare regulations and industry standards, including CMS, Medicaid/Medicare, NCQA, HIPAA, and payer-provider data standards.
· Hands-on experience with Agile tools such as Jira, Azure DevOps, or Rally, including writing user stories, acceptance criteria, and managing sprint deliverables.
· Excellent stakeholder management, communication, and facilitation skills, with a Bachelor's degree in a related field; CSPO or equivalent Agile certification preferred.
Salary and Other Compensation:
The annual salary for this position is between $ 81337 to $ 141500 depending on experience and other qualifications of the successful candidate. This position is also eligible for Cognizant’s discretionary annual incentive program, based on performance and subject to the terms of Cognizant’s applicable plans.
Benefits: Cognizant offers the following benefits for this position, subject to applicable eligibility requirements:
Medical/Dental/Vision/Life Insurance
Paid holidays plus Paid Time Off
401(k) plan and contributions
Long-term/Short-term Disability
Paid Parental Leave
Employee Stock Purchase Plan
Disclaimer: The salary, other compensation, and benefits information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.
Über Cognizant
Cognizant (NASDAQ: CTSH) i ist ein Technologiedienstleister und Entwickler von KI-Lösungen. Wir schlagen die Brücke zwischen KI-Investitionen und echtem unternehmerischem Mehrwert, indem wir ganzheitliche Full-Stack-KI-Lösungen für unsere Kunden entwickeln. Mit unserer fundierten Branchen-, Prozess- und Engineering-Expertise integrieren wir die spezifischen Anforderungen von Unternehmen passgenau in Technologiesysteme. So entfalten wir das menschliche Potenzial, erzielen greifbare Ergebnisse und sichern globalen Unternehmen in einer sich rasant wandelnden Welt den entscheidenden Vorsprung. Erfahren Sie mehr unter cognizant.ai oder @cognizant.
Zusätzliche Informationen zur Beschäftigung
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