Scottsdale, Arizona, USA
6 days ago
Claims Agile Product Owner Sr. Advisor - Evernorth Accountable Care - Hybrid

Position Summary

Evernorth Accountable Care is a new business focused on partnering with healthcare providers to form value-based care relationships, improving care for patients and reducing total healthcare costs. The Agile Product Owner will focus on developing the claims pricing and payment capabilities to support the foundation and long-term growth of the business. This individual will act as a liaison between business stakeholders and technology to set business objectives, communicate capability requirements, and establish priority of enhancements. Additionally, the Agile Product Owner will identify opportunities and implement process improvements, establishing deadlines, aligning responsibilities, and monitoring and summarizing progress against goals.

Key responsibilities would include serving as a leader on a claims-focused scrum team, breaking down requirements into user stories that can be worked by technology teams, facilitating refinement sessions, setting direction regarding the sequencing of work, leading and/or participating in agile ceremonies, and liaising with the product manager to ensure team-level priorities are continuously aligned with program-level priorities and objectives. Additionally, this role includes developing and implementing processes for effective implementation and integration, creating standard operating procedures, and transitioning the capability into a business-as-usual environment.

Essential Functions

Translate business and user objectives into requirements and acceptance criteria, developing and documenting business requirements in a detailed and timely manner

Collaborate in an Agile environment and liaison with team members to effectively communicate business requirements and expectations

Document and maintain project plans/roadmaps to effectively manage expectations internally and externally

Monitor project progress by tracking activity; resolving problems; publishing progress reports; recommending actions

Participate in and/or facilitate ideation and strategy sessions to identify features that will continually enhance the claim pricing and payment capabilities

Test application features in a QA and Production environments to verify accuracy and ensure content is defect free

Identify key trends through the use of data & analytics that drive business decisions

Qualifications

Bachelor’s Degree in related field strongly preferred. Master’s Degree in related field ideal.

2+ years experience within healthcare specific to healthcare claims and EDI required.

At least 1 year working knowledge of agile methodology and experience interfacing with technology teams in an agile environment required

Advanced knowledge of programs like Jira, Confluence & SharePoint

Proven ability to develop strong working relationships and establish a high level of credibility across functional and lines of business

High attention to detail and proven ability to manage multiple, competing priorities simultaneously.

Ability to sustain momentum under challenging circumstances, working with all stakeholders and delivery teams

Demonstrates strong decision making skills and problem solving techniques

Demonstrates ability to work independently and as part of a collaborative team in a fast paced, high volume, rapidly changing environment

Ability to predict challenges and seek to proactively head-off obstacles

Both technically deep and business savvy enough to interface with cross-functional partners

Strong interpersonal, communication, facilitation, and presentation skills.


If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an annual salary of 109,900 - 183,100 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group.

About Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

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