Highmark Inc logo

Product Owner / Lead Data Solutions Analyst (EHR Clinical Data Exchanges)

Highmark Inc
  • Pittsburgh, PA
    10 days ago
    Highmark Inc

    Job Description

    Apply for Product Owner / Lead Data Solutions Analyst (EHR Clinical Data Exchanges) | Careers at Highmark Health Skip to main content

    Careers

    • Working here
    • Our Companies
    • Career Areas
    • Early Careers/Interns
    • Talent Community
    • Team Member Stories
    • Veterans
    • Explore Jobs

    Business Analysis/Reporting

    Product Owner / Lead Data Solutions Analyst (EHR Clinical Data Exchanges)

    Explore our jobs

    Product Owner / Lead Data Solutions Analyst (EHR Clinical Data Exchanges)

    Apply Open in new tab icon

    501 Penn Avenue, Pittsburgh PA 15222, United States

    Company :

    enGen

    Job Description :

    JOB SUMMARY

    This position serves as the Product Owner for a dedicated Agile scrum team focused on Electronic Health Record (EHR) Clinical Data Exchanges (CDE) and Integration. The role owns the product backlog for integrations, data curation and transformation, and downstream use-case/consumption enablement. The Product Owner acts as the critical bridge between business stakeholders, clinical partners, and technical delivery teams, translating complex healthcare interoperability requirements-such as HL7 standards, FHIR, and EHR platform integrations-into actionable user stories. This role requires deep expertise in payer/provider data exchange, quality measures (HEDIS/Stars), and Agile Scrum methodologies.

    ESSENTIAL RESPONSIBILITIES

    • Product Ownership & Backlog Management: Serve as Product Owner for the EHR CDE and Integration scrum team, defining product vision, managing and prioritizing the backlog, writing user stories, and leading sprint planning and reviews.
    • EHR & Clinical Data Exchange Expertise: Drive integration capabilities leveraging EHR system data exchanges for payer/provider mutual benefit across platforms such as Epic (including Epic Payer Platform), Athena Health, Veradigm eCC, Oracle Health, and Medent.
    • Healthcare Domain & Quality Standards Integration: Apply deep knowledge of HEDIS (Healthcare Effectiveness Data and Information Set), NCQA/Stars ratings for CMS/ONC reimbursement, Risk Adjustment, Utilization Management, and Care Management practices to shape data curation and downstream consumption.
    • Interoperability Standards: Incorporate healthcare data exchange standards and formats into product requirements, including HL7 v2 (ADT, SIU, ORU), HL7 v3 (CDA, CCD), and Fast Healthcare Interoperability Resources (FHIR).
    • Stakeholder Collaboration & Executive Communication: Collaborate closely with senior stakeholders for requirements gathering, strategic prioritization, executive communication, and conflict resolution. Act as the primary business voice for the scrum team.
    • Technical & Architectural Familiarity: Work effectively alongside Data Engineers and Architects, maintaining familiarity with Data Lakehouse architecture concepts, GitHub/DevOps CI/CD, YAML, and Cloud Infrastructure as Code (IaC).
    • Other duties as assigned or requested.

    EXPERIENCE

    Required

    • 7 years of experience in IS/IT

    Preferred

    • 5 years of experience in Process Improvement

    • 3 years of experience in Project Management

    • 3 years of experience in Health Insurance Industry

    • 3 years of experience in Healthcare Industry

    SKILLS

    • 5+ years of experience in healthcare data analysis, product management, or business systems analysis within the Healthcare or Health Insurance industry.
    • 3+ years of experience functioning in an Agile Scrum environment as a Product Owner or in a closely related product-owning capacity (Certified Scrum Product Owner [CSPO] or similar certification preferred).
    • Demonstrated experience with EHR systems (Epic, Athena, etc.) and healthcare interoperability standards (HL7, FHIR).
    • Strong knowledge of payer clinical programs, including HEDIS, Stars, Risk Adjustment, and Care Management.

    SKILLS

    • Agile Scrum Methodology & Product Ownership (CSPO certification preferred)
    • Healthcare Data Exchange Standards (HL7 v2/v3, FHIR, CDA, CCD)
    • EHR Platform Integration (Epic, Athena Health, Oracle Health, etc.)
    • Payer Clinical Domains (HEDIS, NCQA/Stars, Risk Adjustment, Utilization Management)
    • Stakeholder Management, Prioritization, & Executive Communication
    • Technical Familiarity (Data Lakehouse concepts, DevOps/CI/CD, SQL)

    EDUCATION

    Required

    • Bachelor's degree in Business Administration, Business Management, Information Technology, Information Systems or related field

    Substitutions

    • None

    Preferred

    • Master"s degree in Business Administration, Business Management, Information Technology, Information Systems or related field

    LICENSES or CERTIFICATIONS

    Required

    • None

    Preferred

    • Six Sigma

    • Project Management Professional (PMP)

    Language (Other than English):

    None

    Travel Requirement:

    0% - 25%

    PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

    Position Type

    Office- Hybrid

    Teaches / trains others

    Occasionally

    Travel from the office to various work sites or from site-to-site

    Rarely

    Physical work site required

    No

    Lifting: up to 10 pounds

    Constantly

    Lifting: 10 to 25 pounds

    Occasionally

    Lifting: 25 to 50 pounds

    Rarely

    Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

    Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

    As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.

    Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

    Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

    We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.

    For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

    California Consumer Privacy Act Employees, Contractors, and Applicants Notice

    Recruitment Fraud Alert

    Apply

    Job Details

    • Job category Business Analysis/Reporting
    • Position Type Full Time
    • Posted 09/18/2026
    • Location(s) 501 Penn Avenue, Pittsburgh PA 15222, United States
    • Line of Business
    • Entity
    • Recruiter
    • Hiring Manager
    • Experience Level
    • Job Family Business Analysis-HM
    • Req ID J286833

    Share

    • Facebook
    • LinkedIn
    • Whatsapp
    • Email
    • Copy URL

    Apply Open in new tab icon

    Arrow left icon

    *

    • Facebook icon
    • Linkedin icon
    • Instagram icon
    • Youtube icon
    • Glassdoor icon

    Featured Links

    • Competitively Sensitive Information
    • Cyber Security
    • Notice at Collection
    • E-Verify English
    • E-Verify - Employee Rights and Responsibilities
    • Data Protection
    • Sitemap
    • Recruitment Fraud Alert
    • Terms of Service
    • Do Not Sell/Share
    • E-Verify Spanish
    • Digital Privacy Policy

    Highmark Health is an independent licensee of the Blue Cross Blue Shield Association.

    Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

    We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.

    We provide reasonable accommodations to applicants with disabilities or who require accommodations for sincerely held religious beliefs or for known limitations related to pregnancy, childbirth, or related medical conditions. If you need an accommodation, please contact HRServices@highmarkhealth.org. This email is exclusively for accommodation requests under applicable laws.

    2026 Highmark Health. All Rights Reserved.

    Numbers & Facts

    LocationPittsburgh, PA
    IndustryHealthcare Services
    Company Size1,000 to 1,499 employees
    Year Founded1996
    Websitehttps://www.highmark.com/hmk2/index.shtml

    About Company

    Highmark provides millions of people with the security of quality health insurance

    Our history of helping families and companies with their health insurance needs dates to the 1930s, when our predecessor companies were established to help Pennsylvania's residents pay for health care.

    Highmark was created in 1996 by the consolidation of two Pennsylvania licensees of the Blue Cross and Blue Shield Association — Pennsylvania Blue Shield (now Highmark Blue Shield) and Blue Cross of Western Pennsylvania (now Highmark Blue Cross Blue Shield). We are now one of the largest health insurers in the United States.

    Highmark's officers and board of directors set the company's strategic direction and corporate policies. They are guided by our mission, vision and values.

    Skills

    • Agile Programming Methodologiesunmatched
    • Architectural Servicesunmatched
    • Backlog Prioritizationunmatched
    • Business Administrationunmatched
    • Business Analysisunmatched
    • Business Solutionsunmatched
    • CDE (Common Desktop Environment)unmatched
    • Certified Scrum Product Ownerunmatched
    • Claims Processingunmatched
    • Clinical Dataunmatched
    • Cloud Computingunmatched
    • Computer Securityunmatched
    • Conflict Resolutionunmatched
    • Content Management Systems (CMS)unmatched
    • Continuous Deployment/Deliveryunmatched
    • Continuous Integrationunmatched
    • Corporate Policiesunmatched
    • Data Analysisunmatched
    • DevOpsunmatched
    • English Languageunmatched
    • Epic Systemsunmatched
    • Establish Prioritiesunmatched
    • Facebookunmatched
    • Federal Laws and Regulationsunmatched
    • GitHubunmatched
    • HIPAA (Health Insurance Portability and Accountability Act)unmatched
    • HL7 (Health Level 7)unmatched
    • Health Insuranceunmatched
    • Healthcareunmatched
    • Healthcare Effectiveness Data and Information Set (HEDIS)unmatched
    • Healthcare Qualityunmatched
    • Healthcare Reimbursementunmatched
    • Information Technology & Information Systemsunmatched
    • Information/Data Security (InfoSec)unmatched
    • Internet Securityunmatched
    • Interoperabilityunmatched
    • Interoperability Requirementsunmatched
    • Legal Standardsunmatched
    • LinkedInunmatched
    • Medical Record Systemunmatched
    • Microsoft Exchange Serverunmatched
    • Multiplatform/Cross-Platformunmatched
    • National Committee for Quality Assurance (NCQA)unmatched
    • Oracleunmatched
    • Process Improvementunmatched
    • Product Backlogunmatched
    • Product Managementunmatched
    • Project Management Professional (PMP)unmatched
    • Project/Program Managementunmatched
    • Quality Metricsunmatched
    • Regulatory Complianceunmatched
    • Requirements Managementunmatched
    • Riskunmatched
    • SQL (Structured Query Language)unmatched
    • Salesunmatched
    • Scrum Project Management and Software Developmentunmatched
    • Security Policyunmatched
    • Sprint Planningunmatched
    • State Laws and Regulationsunmatched
    • Systems Analysisunmatched
    • Technical Deliveryunmatched
    • Use Casesunmatched
    • Utilization Managementunmatched
    • Willing to Travelunmatched
    • Writing Skillsunmatched
    • YouTubeunmatched

    Be found by employers

    5,500+ employers search our resume database daily. Add yours to get found by recruiters looking for candidates like you.

    Level up your application

    Professional resume templates

    Browse dozens of recruiter approved resume templates, layouts and formats. Choose your favorite and make it your own in minutes.

    Free resume templates

    Free resume builder

    Improve your existing resume or start from scratch and create a standout, ATS-friendly resume. Add job-specific content, download and apply.

    Free resume builder