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Job Information

Commonwealth Care Alliance Senior Product Owner (Ancillary & Pharmacy IT)(Remote) in Boston, Massachusetts

Why This Role is Important to Us:

Senior Product Owner will review documentation and provide feedback on quality and accuracy related to the Ancillary and Pharmacy Information Technology (IT) product portfolio and is responsible for consulting with CCA’s business units and IT Services Department to identify and define business needs that require technology solutions to achieve business outcomes. The product owner ensures that projects and other enhancements align with the technology that provides best practice and direct IT strategy in support of the overall business strategy.

The product owner serves as a business consultant and a representative of Ancillary and Pharmacy business interests to IT to identify new technology opportunities to attain operational efficiencies and growth opportunities. The Senior PO will lead a portfolio of projects and enhancements, and build a matrix team of cross-functional experts to deliver designated solutions. Also, enhance the quality of related documentation to build up the quality of the product portfolio.

Supervision Exercised: None

What You'll Be Doing:

  • Manage multiple projects that increase in complexity within a business portfolio that have inter-dependencies with projects across other business units.

  • Maintain relationships with IT, business units and vendors to identify potential opportunities (projects, programs, other enhancements) to improve business operations, and deliver business outcomes against their respect business portfolio.

  • Consult with business unit’s and review IT usage, services, technology, and department specific projects to identify, forecast and develop IT needs impacting their portfolio.

  • Establish subject matter expertise related to Ancillary and Pharmacy IT integrations, and associated business functions and operations, to develop business requirements, functional requirements, and test plans.

  • Collaborate with IT teams to ensure the seamless data flow and consistency to Ancillary and Pharmacy vendors.

  • Collaborate with various internal teams and external partners to gather and analyze business requirements, ensuring compliance with EDI protocols and standards

  • Analyze and report operational and financial impacts of vendors, products and services.

  • Serve as liaison for the Information Technology (IT) department and all other departments and management to identify, forecast and address IT needs impacting their portfolio.

  • Present alternate strategies, new products, and service offerings to improve business efficiencies through technology.

  • Prepare and submit operational budget and cost estimates related to their portfolio for proposed projects to senior management.

  • Establish and maintain business process documentation, compliance and security requirements, and regulatory goals on an ongoing basis and across all programs and projects.

  • IT project deliverables and milestones including;

  • Business and functional requirements associated with test cases, and business processes.

  • Cross-Functional impact analysis of projects and programs

  • Coordinate project delivery plan across all IT units

  • Maintain meeting minutes, risk and issues logs, and action items

  • Maintain delivery status in the required systems

  • Reports on usage and metrics

Secondary Duties & Responsibilities

  • Support IT communications

  • Review documentation and provide feedback on quality and accuracy

  • Research new ways to conduct business operations

  • Research new technologies and its applicability

  • Provide ideas to resolve risks and issues to IT leadership team

  • Participate in learning and development – Maintain active career development plan

What We're Looking For:

Education:

  • Bachelor's degree in a related field

Desired Education:

  • Masters Degree in Computer Science, Healthcare, Data Science, Business Administration

Experience Required:

  • 5+ years’ experience that has served in multiple roles such as EDI analyst, business analyst, process analyst, and business consultant.

  • Experience with product development tools (JIRA, Confluence, VersionOne, etc)

  • Experience with collaboration tools (MS Teams, Slack, etc)

  • Experience that solidified the candidate’s strategic business, clinical and/or financial acumen and ability to contextualize work priorities

  • Experience with budgeting and estimation of product backlogs

Experience Desired:

  • Agile & Scrum experience

  • Experience working in the healthcare payer space

  • Experience with X12 EDI transaction sets for Healthcare, including 834, 837, and 835

  • Experience working with vendor partners and associated data integrations.

Knowledge, Skills & Abilities Required:

  • Understanding of Adaptability/ Flexibility

Adapts to change, is open to new ideas, takes on new responsibilities, handles pressure, and adjusts plans to meet changing needs.

  • Customer Focus

Builds customer confidence, is committed to increasing customer satisfaction, sets achievable customer expectations, assumes responsibility for solving customer problems, ensures commitments to customers are met, solicits opinions and ideas from customers, responds to internal customers. Excellent communication skills required.

  • Decision Making/ Judgment

Recognizes problems and responds, systematically gathers information, sorts through complex issues, seeks input from others, addresses root cause of issues, makes timely decisions, can make difficult decisions, uses consensus when possible, and communicates decisions to others.

  • Managing for Results

Sets challenging and productive goals for team, keeps team accountable for actions, provides leadership and motivation, provides resources and support, uses checkpoints and data to track progress, sets up systems and processes to measure results. Ability to manage program-level portfolio workloads (multi-project scope).

  • Managing Performance

Applies clear/consistent performance standards, handles performance problems decisively and objectively, is direct but tactful, provides guidance and assistance to improve performance.

  • Negotiation Skills

Conducts positive negotiations, ability to compromise, handles conflict, seeks common ground, articulates own and others goals, stays focused on positive outcome.

  • Organizational Savvy

Operates within the organization's formal and informal structures, builds allies and relationships across departments, uses allies to build consensus and create results, is appropriately diplomatic, understands others' roles and perspectives, can sell projects and ideas across the organization.

  • Strategic Thinking/ Management

Creates and communicates a long-term vision, balances short and long term goals, keeps own and team's work aligned with overall goals, understands the market and can predict change, understands the industry and the competition, creates and adjusts strategic plans.

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled

Please note employment with CCA is contingent upon acceptable professional references, a background check (including Mass CORI, employment, education, criminal check, and driving record, (if applicable)), an OIG Report and verification of a valid MA/RN license (if applicable). Commonwealth Care Alliance is an equal opportunity employer. Applicants are considered for positions without regard to veteran status, uniformed service member status, race, color, religion, sex, national origin, age, physical or mental disability, genetic information or any other category protected by applicable federal, state or local laws.

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