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New Requirement Urgent need :: Product Owner (Risk Adjustment / EDPS) at Remote, Remote, USA
Email: [email protected]
Role:
Product Owner (Risk Adjustment / EDPS)

Location:
Remote in USA

Long
Term Contract

Mandatory Requirements: Risk Adjustment ,Electronic Data
Processing System, Claims Submission, HCC Coding, Healthcare Domain

Position Summary:

As a Product Owner/Domain Consultant you will be responsible
for leading the product development related to Medicare and Medicaid lines of
businesses, in the functional areas of Encounter data processing and Risk
Adjustment models. You will be working in a highly collaborative environment to
implement product vision with a clear focus on regulatory, customer and end-user
needs. As part of the product organization, you will work collaboratively with
Architecture, Compliance, IT, and Legal to deliver technologies and processes
that comply with federal and state regulations.

Responsibilities:

Own
the end-to-end product strategy from concept to production. Provide
vision and direction to all stakeholders in the product organization.

Responsible
for development and implementation of new product ideas and enhancements
around Encounter data processing, Risk adjustment and provider management

Manage
product backlog, requirement documentation, product features, user manual
updates.

Lead
the planning of product release plans and set delivery expectations.

Perform
market research, identify current product gaps, develop enhancement
strategies, and maintain product roadmap

Develop
marketing presentations, provide product demo to prospective customers,
design and lead rapid prototype application development

Serve
as subject matter expert and mentor to team members, providing guidance
regarding product development best practices, processes, and tools

Lead
the SMEs in analyzing regulatory changes by CMS and state and determine
product impact and plan changes to the product accordingly

Lead
design discussions between offshore and onshore on product development and
enhancements. Lead requirement gathering and walk thru sessions

Identifying
areas for improvement in team processes and contributing to solutions to
other products in the platform.

Assist
and lead program management and implementation teams in developing
resource planning and implementation efforts

Required skills

8+
years of experience within the US healthcare industry around Medicare and
Medicaid lines of business

Strong
knowledge of product management. Demonstrate experience in product
development and implementations

Strong
subject matter expertise in Encounter data processing, Risk adjustment
methodologies, HCCs, Chart review data expertise and Claims processing areas

Good
understanding on 834, 837, 820 X12 data formats and standards.

Experience
with CMS Submission Process, EDI transactions and response file processing
flow

Familiarity
with ETL, mapping tools like IBM WTX. HIPAA Compliance

Knowledge
of CMS Risk score and risk adjustment methodologies

Good
working knowledge of SQL

Ability
to develop demo materials and conduct product demonstrations

Familiarity
with wireframe and design and working with UI/UX design teams

Preferred skills

Good
understanding of Mainframe legacy applications and integration

Working
knowledge in DB2, PostgreSQL

Good
understanding of front-end technologies, including HTML5, CSS3,
JavaScript, ReactJS prototyping

Familiarity
with data modeling, analytics and data mining methods

--

Regards,

Vikas Suhag

https://www.linkedin.com/in/vikas-suhag-47a74921a/

--

Keywords: user interface user experience information technology
New Requirement Urgent need :: Product Owner (Risk Adjustment / EDPS)
[email protected]
[email protected]
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12:42 AM 19-Nov-24


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