Product Owner -US Healthcare with PBM

Summary

As a Product Owner -US Healthcare with PBM at Gainwell,you will play a key role in driving product vision, strategy, and execution within the US healthcare and pharmacy domain. You will work closely with stakeholders, development teams, and business units to define product requirements, prioritize features, and ensure successful product delivery in alignment with business objectives.

Your role in our mission

Key Responsibilities

Act as the primary point of contact for the product, owning the roadmap and backlog.

Collaborate with cross-functional teams, including business stakeholders, engineering, UX / UI, and quality assurance, to define and deliver high-impact product enhancements.

Prioritize and manage the Azure DevOps (ADO) backlog, ensuring alignment with business and regulatory requirements.

Work closely with PMO / Scrum Master to ensure smooth Agile execution, including backlog grooming, sprint planning, and release management.

Define and document user stories, acceptance criteria, and business rules with a focus on US healthcare and pharmacy workflows.

Ensure compliance with US healthcare regulations, including CMS, HIPAA, and other industry standards.

Engage with clients and end-users to gather feedback and drive product improvements.

Monitor industry trends, competitor offerings, and regulatory changes to inform product strategy.

Track product performance and success metrics to drive continuous improvement.

Required Qualifications

5+ years of experience as a Product Owner or in a related product management role.

Strong knowledge of US healthcare systems, pharmacy workflows, and regulatory requirements (e.g., Medicaid, Medicare, PBMs, e-prescribing, and pharmacy claims processing).

Experience working in Agile environments (SAFe, Scrum, or Kanban) with expertise in backlog management tools like Azure DevOps (ADO), Jira, or Rally.

Proven ability to translate complex business needs into clear, actionable user stories.

Experience collaborating with engineering, QA, business, and compliance teams.

Strong analytical and problem-solving skills, with the ability to manage competing priorities.

Excellent communication and stakeholder management skills, with experience engaging executive leadership, clients, and development teams.

SAFe Product Owner / Manager (POPM) certification or equivalent experience is a plus.

Preferred Qualifications

Exposure on drug data base such as FDB & Medispan

Experience with healthcare data interoperability (HL7, FHIR, EDI 837 / 835).

Familiarity with cloud-based healthcare applications (AWS, Azure, or GCP).

Understanding of drug pricing models, formulary management, and pharmacy benefits administration.

Knowledge of prior authorization, claims adjudication, and medication therapy management (MTM).

What to Expect

Opportunities for career growth and professional development

Remote environment.

Must be flexible to work on late evenings for effective collaboration with US as per business requirements