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Job Description
- Define product features and workflows across VBC, Claims, Authorization, and Payment Integrity.
- Create journey maps, wireframes, and rapid prototypes using AI-powered design tools.
- Lead requirements discovery and convert payer needs into clear specs and process flows.
- Model end-to-end workflows and ensure interoperability with FHIR, HL7, and X12 standards.
- Work with engineering teams to translate requirements into APIs, data schemas, and microservices.
- Collaborate with AI teams to integrate LLM/RAG use cases like claims triage or pre-auth summarization.
- Support client workshops, RFP responses, demos, and solution pitching.
- Build reusable domain assets, accelerators, and visual artifacts for future implementations.
- Mentor junior analysts and keep product direction aligned with regulatory and market trends.
- Participate in sprints, backlog grooming, and validation activities to ensure smooth delivery.
- Strong domain knowledge in VBC, Claims, Payment Integrity, or Authorization.
- Hands-on experience with FHIR, HL7, X12, and payer interoperability standards.
- Proficiency in wireframing tools (Figma, Miro, Uizard) and AI-driven design platforms.
- Ability to write clear process flows, business rules, KPIs, and integration specs.
- Basic understanding of SQL, APIs, JSON, and healthcare data models.
- Experience working closely with product, engineering, and AI teams.
- Strong communication, presentation, and storytelling skills.
- Agile mindset with the ability to operate in fast, multi-role environments.
- Certifications like CSPO, CBAP, or FHIR/HL7 are a plus.
Skills
HealthcareCspoProduct EngineeringDigitalArchitectureToolsFhirBusiness AnalysisAgileStorytellingProduct OwnerIf a job posting appears fraudulent, asks for payment, contains misleading information, or violates our guidelines, please report it immediately. Our team will review it promptly, Jobaaj does not charge any fee from the applicants.
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