Product Owner

Expected Skills/ Competency/JD

Product Strategy & Roadmap

• Define and execute the product vision and roadmap for US Health Insurance capabilities within InsureEdge.
• Translate business strategy and customer needs into product initiatives and measurable outcomes.
• Prioritize features based on customer value, market demand, regulatory requirements, and business objectives.
• Identify opportunities for product innovation, automation, and operational efficiency.

Product Ownership

• Own and manage the product backlog, ensuring features are clearly defined, prioritized, and aligned with business goals.
• Develop user stories, acceptance criteria, and functional requirements for engineering teams.
• Participate in sprint planning, backlog grooming, reviews, and retrospectives.
• Make product decisions balancing customer needs, technical feasibility, and commercial priorities.

Must Have Skill Set

Regulatory & Compliance

• Ensure product capabilities align with US healthcare and insurance regulations.
• Partner with compliance and legal teams to incorporate regulatory changes into the product roadmap.
• Support HIPAA-compliant workflows and secure handling of protected health information (PHI).
• Monitor regulatory changes affecting product functionality and customer requirements.

Customer & Market Engagement

• Engage with insurers, TPAs, brokers, employers, implementation teams, and customers to understand evolving market needs.
• Conduct market research and competitive analysis to identify opportunities and emerging trends.
• Gather customer feedback and incorporate insights into product improvements.

Good to Have Skill Set

• US Health Insurance Domain
• • Build and maintain capabilities supporting:
• o Individual & Family Plans (ACA Marketplace)
• o Employer Group Health
• o Medicare Advantage & Medicare Supplement
• o Medicaid Managed Care (where applicable)
• o Dental, Vision, and Ancillary Benefits

• Ensure support for benefit plans, eligibility, enrollment, renewals, policy servicing, billing, and member lifecycle management.
• Drive product capabilities for plan configuration, benefit administration, provider networks, and digital servicing.

Domain Knowledge

• • Strong understanding of:
• o Commercial Health Insurance
• o ACA Marketplace
• o Employer Group Health Plans
• o Medicare & Medicaid
• o Health Plan Administration
• o Member Enrollment & Eligibility
• o Claims and Benefits Administration
• o Provider Networks
• o Premium Billing & Payments
• o Digital Member and Broker Portals
• o HIPAA and healthcare compliance requirements
• • Knowledge of standards such as EDI 834, 835, 837, and FHIR is highly desirable.