We provide IT Staff Augmentation Services!

Product Owner & Product Manager Resume

SUMMARY

  • Healthcare Insurance Product Owner & Manager with 15+ years of experience across Confidential public & group healthcare insurance sectors, responsible for strategizing business needs with the client & ensuring product marketability
  • Responsible for driving key initiatives to balancing the customer’s business requirements with organization’s vision
  • Have extensive knowledge and experience in all functional areas of Healthcare Insurance domain
  • Have played multiple roles including Product Owner, Product Manager, Requirements Manager, Design Lead, Sr. Business Consultant, Business Analyst across various engagements
  • Experienced in implementing various IT SDLC models including Agile
  • Proven capability in COTS implementation, Legacy modernization & greenfield development projects.
  • Independently execute plans while working with key internal stakeholders
  • Ensured projects are process compliant, tracked, shared & on time

PROFESSIONAL EXPERIENCE

Confidential

Product Owner & Product Manager

Responsibilities:

  • Responsible to maintain an annual revenue stream of $14M within Medicare & Medicaid domains
  • Ensuring the integrity of payment made by the CMS or the State to the Plans and provide recommendations to recoup payments
  • Creating product road map and listing out the features which need to be implemented and the sequence of implementation
  • Keeping abreast of CMS & State Medicaid changes to ensure the product remains compliant to the regulations
  • Work with & manage a 12 - member Offshore Product Development and a 6-member onsite product maintenance & operations team within an agile environment
  • Working with Technical Architects to move products to AWS
  • Manage relationship with 27+ health plan customers including HCSC, Centene, Excellus, Cambia etc. to ensure they remain satisfied with the product and the services provided
  • Participating in workshops to identify customizations needed and productionize the product for the customer
  • Generating insightful analytics for customers based on State 834 & 820 data and Plan membership data
  • Conducting a comparative market analysis to understand and position various products in Medicaid or Medicare market
  • Identifying new revenue opportunities for existing MCOs by mining Claims & Enrollment data
  • Visiting customer offices to provide them with the demonstration of Product capabilities in this area
  • Participate in the recruitment process

Confidential

Product Lead & Manager

Responsibilities:

  • Working with the State through Requirements, Gap Analysis and Functional Design Phases
  • Ensuring the solution is compliant with CMS 7 Standards and Conditions and inline with the MITA framework
  • Leading a team of multiple BA’s comprising of personnel from multiple vendors
  • Working with the State in understanding the current (AS-IS) Business Process and defining the To-BE Business Process using BPMN 2.0 for the new Eligibility & Enrollment System compliant with ACA regulations.
  • Working with Directors and Administrators for streamlining their Business Process for their respective departments
  • Creation of requirement and scope management plans and operationalization of the same
  • Working with Technical team to understand and harmonize technical & business requirements
  • Conducting Kick off Sessions before each phase for various department personnel who would be participating in that phase
  • Conducting JAD sessions with various Agency partners for functional design
  • Creating and maintaining Product Backlog for development & test
  • Creating various processes for the State and Confidential to facilitate smooth functioning
  • Working with State Organizational Change Management Team to determine Change Impacts
  • Working with Communications Team to ensure various Stakeholders are kept abreast of Project Developments and creating an environment supportive of the change
  • Working with Child Support enforcement proposals and identifying system changes
  • Participate in hiring and recruitment process

Confidential

Sr. Business Consulatant

Responsibilities:

  • Involved in interacting with the customer, in creating Business Need Assessments, doing cost benefit analysis, detailing requirements, working with downstream teams design, develop, deliver & operationalize Health Insurance Platform
  • As a Lead Business Analyst worked on understanding customers operating issues/constraints, proposing & building solutions to allow the enterprise work with upstream and downstream system seamlessly.
  • Worked with customer teams on resolving pre-production operational issues.
  • Networked with established support group within the organization, involved in Market research, gathered business requirements & involved in thorough understanding of horizontal /vertical target market opportunities. This helped matching Confidential ’s Solution as closely as possible with the needs of the customers
  • Coordinated meetings between Onsite & Offshore team. Gathered Information from the Customer, Enterprise Architect, Design Architect, & transitioned to the team
  • Conducted several Demos on Confidential Medicare Systems with UI Architects, Design Architects, & Sales Team
  • Assisted sales team with several concepts, strategic planning, presentations & business planning for various customers over RFPs.
  • Provided continuous attention to technical excellence & good design
  • Gained extensive knowledge on new emerging technologies that were directly or indirectly related to Confidential ’s business
  • Close, daily co-operation between business people & developers. Kept most of the interactions Face-to-face
  • Involved in profiling right skills & people to expand the customer needs
  • Helping the various customer business & technical teams transition from legacy systems to the new platform

Hire Now