CareFirst BlueCross BlueShield
Product Owner - Post Adjudication Voucher (Remote)
CareFirst BlueCross BlueShield, Washington, District of Columbia, us, 20022
Product Owner - Post Adjudication Voucher (Remote)
Join to apply for the
Product Owner - Post Adjudication Voucher (Remote)
role at
CareFirst BlueCross BlueShield Product Owner - Post Adjudication Voucher (Remote)
Join to apply for the
Product Owner - Post Adjudication Voucher (Remote)
role at
CareFirst BlueCross BlueShield PURPOSE:
Drives value to the business by building, managing, and maintaining a Product Backlog in collaboration with IT teams. Represents the business to the team and defines business purpose and value for them. Defines the details of what is to be done and the overall scope of the project for the product offering. Ensures that acceptance criteria are well-defined. Plays a key role in shaping the product direction, creating the feature(s), writing user stories, and innovating collaboratively through Joint Application Development (JAD) and other brainstorming sessions. Resp & Qualifications
PURPOSE:
Drives value to the business by building, managing, and maintaining a Product Backlog in collaboration with IT teams. Represents the business to the team and defines business purpose and value for them. Defines the details of what is to be done and the overall scope of the project for the product offering. Ensures that acceptance criteria are well-defined. Plays a key role in shaping the product direction, creating the feature(s), writing user stories, and innovating collaboratively through Joint Application Development (JAD) and other brainstorming sessions.
Essential Functions
Develops and aligns the Product Roadmap to strategic goals by working with customers, both internal and external, as well as Stakeholders to analyze and document both business and technology needs. Engages with the Agile development team in defining and maintaining Product Backlog epics and breaking them into features, user stories and acceptance criteria. Informs business decisions by drafting key objectives and results, strategies, and ensures appropriate levels of data is optimized by and through the product. Partners with product management and senior management to create, implement, and adjust the product to fit the company portfolio; represents the team while managing business with clients, users, and stakeholders. Communicates the business' product needs to technologists, internal and external business partners, and is held accountable for the functionality and the adoption of the created product. Articulates the value proposition to clients, internal and external business partners, and key stakeholders. Researches and analyzes product roadmap, market, and users. Helps advocate for and broaden team understanding of Agile methods, knowledge of new technologies and trends.
Supervisory Responsibility
Position does not have direct reports but is expected to assist in guiding and mentoring less experienced staff. May lead a team of matrixed resources.
Qualifications
Education Level:
Bachelor's Degree in Product Management, Engineering, Information Technology or related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.
Licenses/Certifications Preferred
Certified Scrum Product Owner
Experience:
4 years' experience business analysis, business development, solutions development, system analysis, technical design/development implementation or equivalent experience OR
2 years product owner experience.
Preferred Qualifications
Certified Scrum Product Owner - CSPO Previous healthcare experience Advanced degree
Knowledge, Skills And Abilities (KSAs)
Proficient in Agile methodologies, principles, and procedures. Ability to define and build product roadmap. Ability to negotiate with all stakeholders. Ability to manage stakeholders and their expectations. Ability to recognize, analyze, and solve a variety of problems. Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging. Extensive knowledge of Pre-Adjudication 837 EDI & Post-Adjudication Voucher 835 EDI transaction processes, including reconciliation, adjustments, and payment accuracy. Strong understanding of claims adjudication and post-adjudication workflows, including error resolution and compliance requirements. Experience with claims processing and related reporting tools. Ability to analyze, interpret, and validate claim data for accuracy and completeness. Skilled in identifying and resolving discrepancies with voucher and payment records. Strong documentation skills for creating process guides, SOPs, and training materials. Excellent communication skills, with the ability to explain technical processes to non-technical stakeholders. Ability to work collaboratively with cross-functional teams including finance, operations and IT.
Salary Range:
$79,776 - $158,444
Travel Requirements
Estimate Amount:
10% Domestic travel between CareFirst locations and client offices may be required.
Salary Range Disclaimer
The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilites of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).
Department
Systems Analysis
Equal Employment Opportunity
CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Where To Apply
Please visit our website to apply: www.carefirst.com/careers
Federal Disc/Physical Demand
Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.
Physical Demands
The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.
Sponsorship in US
Must be eligible to work in the U.S. without Sponsorship Seniority level
Seniority level Mid-Senior level Employment type
Employment type Full-time Job function
Job function Product Management and Marketing Industries IT Services and IT Consulting, Financial Services, and Hospitals and Health Care Referrals increase your chances of interviewing at CareFirst BlueCross BlueShield by 2x Sign in to set job alerts for “Product Owner” roles.
Silver Spring, MD $92,684.80-$154,460.80 2 weeks ago McLean, VA $95,000.00-$130,000.00 1 week ago McLean, VA $110,000.00-$130,000.00 4 days ago McLean, VA $90,000.00-$130,000.00 1 week ago Washington, DC $103,500.00-$115,000.00 14 hours ago Washington, DC $124,303.00-$180,000.00 1 week ago Reston, VA $95,000.00-$100,000.00 4 days ago Herndon, VA $112,950.00-$160,400.00 1 month ago Gaithersburg, MD $127,545.00-$159,431.00 3 days ago Columbia, MD $100,300.00-$127,900.00 1 week ago Fairfax, VA $115,000.00-$140,000.00 3 weeks ago Columbia, MD $69,600.00-$174,000.00 1 week ago Product Owner III - IT (Memphis, TN or Remote in USA)
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Join to apply for the
Product Owner - Post Adjudication Voucher (Remote)
role at
CareFirst BlueCross BlueShield Product Owner - Post Adjudication Voucher (Remote)
Join to apply for the
Product Owner - Post Adjudication Voucher (Remote)
role at
CareFirst BlueCross BlueShield PURPOSE:
Drives value to the business by building, managing, and maintaining a Product Backlog in collaboration with IT teams. Represents the business to the team and defines business purpose and value for them. Defines the details of what is to be done and the overall scope of the project for the product offering. Ensures that acceptance criteria are well-defined. Plays a key role in shaping the product direction, creating the feature(s), writing user stories, and innovating collaboratively through Joint Application Development (JAD) and other brainstorming sessions. Resp & Qualifications
PURPOSE:
Drives value to the business by building, managing, and maintaining a Product Backlog in collaboration with IT teams. Represents the business to the team and defines business purpose and value for them. Defines the details of what is to be done and the overall scope of the project for the product offering. Ensures that acceptance criteria are well-defined. Plays a key role in shaping the product direction, creating the feature(s), writing user stories, and innovating collaboratively through Joint Application Development (JAD) and other brainstorming sessions.
Essential Functions
Develops and aligns the Product Roadmap to strategic goals by working with customers, both internal and external, as well as Stakeholders to analyze and document both business and technology needs. Engages with the Agile development team in defining and maintaining Product Backlog epics and breaking them into features, user stories and acceptance criteria. Informs business decisions by drafting key objectives and results, strategies, and ensures appropriate levels of data is optimized by and through the product. Partners with product management and senior management to create, implement, and adjust the product to fit the company portfolio; represents the team while managing business with clients, users, and stakeholders. Communicates the business' product needs to technologists, internal and external business partners, and is held accountable for the functionality and the adoption of the created product. Articulates the value proposition to clients, internal and external business partners, and key stakeholders. Researches and analyzes product roadmap, market, and users. Helps advocate for and broaden team understanding of Agile methods, knowledge of new technologies and trends.
Supervisory Responsibility
Position does not have direct reports but is expected to assist in guiding and mentoring less experienced staff. May lead a team of matrixed resources.
Qualifications
Education Level:
Bachelor's Degree in Product Management, Engineering, Information Technology or related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.
Licenses/Certifications Preferred
Certified Scrum Product Owner
Experience:
4 years' experience business analysis, business development, solutions development, system analysis, technical design/development implementation or equivalent experience OR
2 years product owner experience.
Preferred Qualifications
Certified Scrum Product Owner - CSPO Previous healthcare experience Advanced degree
Knowledge, Skills And Abilities (KSAs)
Proficient in Agile methodologies, principles, and procedures. Ability to define and build product roadmap. Ability to negotiate with all stakeholders. Ability to manage stakeholders and their expectations. Ability to recognize, analyze, and solve a variety of problems. Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging. Extensive knowledge of Pre-Adjudication 837 EDI & Post-Adjudication Voucher 835 EDI transaction processes, including reconciliation, adjustments, and payment accuracy. Strong understanding of claims adjudication and post-adjudication workflows, including error resolution and compliance requirements. Experience with claims processing and related reporting tools. Ability to analyze, interpret, and validate claim data for accuracy and completeness. Skilled in identifying and resolving discrepancies with voucher and payment records. Strong documentation skills for creating process guides, SOPs, and training materials. Excellent communication skills, with the ability to explain technical processes to non-technical stakeholders. Ability to work collaboratively with cross-functional teams including finance, operations and IT.
Salary Range:
$79,776 - $158,444
Travel Requirements
Estimate Amount:
10% Domestic travel between CareFirst locations and client offices may be required.
Salary Range Disclaimer
The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilites of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).
Department
Systems Analysis
Equal Employment Opportunity
CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Where To Apply
Please visit our website to apply: www.carefirst.com/careers
Federal Disc/Physical Demand
Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.
Physical Demands
The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.
Sponsorship in US
Must be eligible to work in the U.S. without Sponsorship Seniority level
Seniority level Mid-Senior level Employment type
Employment type Full-time Job function
Job function Product Management and Marketing Industries IT Services and IT Consulting, Financial Services, and Hospitals and Health Care Referrals increase your chances of interviewing at CareFirst BlueCross BlueShield by 2x Sign in to set job alerts for “Product Owner” roles.
Silver Spring, MD $92,684.80-$154,460.80 2 weeks ago McLean, VA $95,000.00-$130,000.00 1 week ago McLean, VA $110,000.00-$130,000.00 4 days ago McLean, VA $90,000.00-$130,000.00 1 week ago Washington, DC $103,500.00-$115,000.00 14 hours ago Washington, DC $124,303.00-$180,000.00 1 week ago Reston, VA $95,000.00-$100,000.00 4 days ago Herndon, VA $112,950.00-$160,400.00 1 month ago Gaithersburg, MD $127,545.00-$159,431.00 3 days ago Columbia, MD $100,300.00-$127,900.00 1 week ago Fairfax, VA $115,000.00-$140,000.00 3 weeks ago Columbia, MD $69,600.00-$174,000.00 1 week ago Product Owner III - IT (Memphis, TN or Remote in USA)
Product Owner– BI, Reporting and Dashboards (remote)
McLean, VA $100,000.00-$130,000.00 1 week ago Product Owner (Regulatory Compliance) remote
McLean, VA $110,000.00-$130,000.00 1 week ago Washington DC-Baltimore Area $134,300.00-$195,400.00 2 days ago Fort Meade, MD $124,303.00-$190,000.00 2 days ago Columbia, MD $69,600.00-$174,000.00 12 hours ago District of Columbia, United States 2 days ago Product Owner (TS/SCI CI Poly Clearance Required)
District of Columbia, United States 3 days ago Product Owner, Collections - Job ID: 746
Arlington, VA $96,300.00-$154,400.00 1 month ago Product Owner, Laboratory Systems(Hybrid)
Gaithersburg, MD $127,545.00-$153,431.00 1 week ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr