Product Owner - Provider Data & Lifecycle Management

Our client, a IT Services and Consulting company, is looking for a Product Owner - Provider Data & Lifecycle Management for their Remote location.

Responsibilities:

• Deep payer-side provider domain fluency. The PO has to understand how provider data actually behaves inside a health plan - how a provider record flows through credentialing, contracting, hierarchies, directory, and claims, and what breaks downstream when the data is wrong.
• Backlog ownership and prioritization under ambiguity. The core PO craft - turning messy, dataheavy, crossfunctional problems into wellformed epics, features, and stories with real acceptance criteria, and making defensible prioritization calls when everything is "urgent."
• Crossfunctional stakeholder management. Provider data sits at the intersection of network, operations, credentialing, compliance, and engineering - each with different incentives. The PO has to be the connective tissue: translate between business and technical teams, broker competing priorities, and keep regulatory/compliance partners aligned.
• We are seeking an experienced Product Owner to drive our provider data and provider lifecycle management capabilities.
• This role sits at the center of how a health plan onboards, maintains, and governs provider data across its network - powering everything from accurate directories and claims adjudication to network adequacy and provider payment.
• You will own the product backlog, translate complex payerside business needs into clear requirements, and partner closely with engineering, data, operations, and network teams to deliver.
• This role requires provider domain experience from the payer / health insurer side.
• We are specifically seeking candidates who have managed provider data within a health plan, insurer, or organization serving payers.
• Experience gained working for provider organizations - hospitals, health systems, or physician groups - does not meet the requirement for this position, as the data structures, workflows, and business drivers differ materially.
• Candidates should be able to speak to provider data from the perspective of the entity paying for and administering coverage.

Requirements:

• Strong Product Management / Product Owner experience is required, including demonstrated experience in one or more of the following payerside domains:
• Provider Data Management
• Provider Lifecycle Management
• Credentialing
• Network Management
• Contracts / Agreements
• Provider Hierarchies
• You should bring handson experience owning a backlog in an agile environment, strong stakeholder management across business and technical teams, and the ability to decompose ambiguous, dataheavy problems into a clear delivery plan.
• You should be fluent in how provider data flows through core payer functions and the operational and regulatory consequences of poor data quality.
• Preferred Qualifications:
• Experience with provider data platforms or MDM (master data management) solutions; familiarity with provider directory accuracy and network adequacy regulations; experience with credentialing systems and delegated credentialing workflows; exposure to provider contract configuration and fee schedule structures; and prior work modernizing or migrating legacy provider data systems.
• Certifications such as CSPO or SAFe POPM are a plus.
• Years of Experience:
• 7.00 Years of Experience

Why Should You Apply?

• Health Benefits
• Referral Program
• Excellent growth and advancement opportunities