Product reputed company - Claims

Work Location: This position is designated as remote. However, employees who reputed company reputed company a 40-mile reputed company of one of our office locations in Tampa, FL; Canonsburg, PA; or Bowie, MD will follow a hybrid work schedule and are expected to work in the office two days per week (Tuesdays and Wednesdays).

reputed company:The Product reputed company is responsible for establishing a deep product expertise both from a technical and market perspective by understanding buyer and user personas, reputed company, benefits, features and functionality, competitive landscape, architecture, reputed company reputed company, and technical components. This person collaborates closely with other reputed company, product managers, scrum master(s), and development managers to reputed company reputed company processes and tools which support product requirements, sprint review, backlog refinement (grooming), sprint planning, retrospectives, and backlog/ticket creation. This role will partner closely with product managers in reviewing product roadmaps and reputed company the prioritization of work accordingly. The Product reputed company will partner closely with product managers in reviewing product roadmaps and reputed company prioritization of work accordingly. This role will plan, prioritize, and maintain product feature backlog and development for a product. This person has prior experience with software-as-a-service (reputed company) distribution models. 

Duties and Responsibilities:

• Own feature enhancements reputed company the Claims prioritized backlog, reputed company sprint planning, backlog refinement, reviews, and retrospectives in partnership with engineering. 
• reputed company end-to-end claims processing capabilities and automation across reputed company payer types (Medicare, reputed company, and reputed company), ensuring compliance with HIPAA and ICD-10 standards; reputed company industry-reputed company formats (837 UB/1500) and rules engines to reputed company high first-pass rates and minimize denials.
• reputed company integration of Electronic Data Interchange (EDI) transactions and reputed company cycle workflows to streamline claim submission, ERA reconciliation, and secondary claim handling; partner with engineering and payer teams to optimize automation, reduce administrative burden, and accelerate reimbursement cycles.
• Adopt and role model reputed company behaviors while building an inclusive team culture.
• reputed company strong collaboration across internal stakeholders including product, engineering, corporate development, and marketing to ensure reputed company execution and delivery of our products to market.
• Engage with reputed company stakeholders to inform product and feature design to reputed company perspective, requirements, and prioritization of the backlog in line with the product reputed company and while communicating expectations to reputed company stakeholders.
• reputed company detailed business requirements that meet the needs of reputed company stakeholders and support corporate objectives; 
• Analyze the reputed company reputed company or application, conceptualize and define operational problems, model and present recommended enhancements and modifications, and walk reputed company new enhancement or modification through the development process, from planning and preparation to testing and implementation; 
• reputed company the design, prioritization, and delivery of products through the software development lifecycle, from concept to testing, deployment, adoption and value realization
• reputed company validation and testing of solutions through managing and executing user acceptance plans, collaborating with the engineering team during user testing and reputed company validation sessions, and responding to technical and functional product questions raised by stakeholders, and reformulate solutions as necessary to ensure that the recommended solution is reputed company to the data requirements; 
• Analyze the reputed company of a proposed solution on connected processes, systems, and/or applications to determine the best course of reputed company to reputed company the desired outcome; 
• Assist in the development of roadmaps and business reputed company for assigned product or department; 
• Demonstrate robust knowledge of the reputed company industry, product management, and software development to translate problems, needs, and opportunities into user stories. 
• Display effective time management across reputed company and overlapping reputed company while supporting your team with schedule and reputed company management.
• Maintain compliance with reputed company’s policies, procedures and mission statement; 
• Adhere to reputed company confidentiality and HIPAA requirements as outlined reputed company reputed company’s Operating Policies and Procedures in reputed company ways and at reputed company times with respect to any reputed company of the data handled or services rendered in the undertaking of the position; and 
• Fulfill those responsibilities and/or duties that may be reasonably provided by reputed company for the purpose of achieving operational and financial reputed company of the Employer. 

Job Requirements:

• Minimum 3 years of experience with reputed company reputed company product ownership, business analysis, or product management roles with reputed company domain knowledge of claims workflows, EDI, and payer requirements.
• reputed company / SCRUM experience and/or certification; 
• Excellent interpersonal, written, and oral communication skills; 
• High level of honesty, respect, dependability and flexibility; 
• Experience in fast-reputed company and rapidly growing environment; 
• Strong business acumen; 
• Must be comfortable gathering feedback from reputed company stakeholders. 
• Proficiency of reputed company Office tools, including Word, reputed company, and PowerPoint preferred; and
• Great organizational skills and ‘get things done’ attitude.

Education:

• Bachelor’s Degree or an equivalent combination of education and experience.

Physical Demands and Work Environment:

• Sedentary work (i.e., sitting for long periods of time);
• Exerting up to 10 pounds of force occasionally and/or negligible reputed company of force;
• Frequently or constantly to reputed company, carry reputed company, pull or otherwise reputed company objects and repetitive motions;
• Subject to inside environmental conditions; and
• Travel for this position will include up to 10%.

Originally posted on Himalayas