Claims Business Product Owner - EviCore - Remote

Location: United States Work at Home

Remote Type: Remote

Time Type: Full time

Job Description

  

Business Product Owner, Claims Systems

 

Summary:

 

The Business Product Owner (BPO) serves as the strategic lead for intake management within the business domain working directly with Client Management, Claims Operations, Product & Planning, Configuration, and Technology teams to deliver solutions that improve efficiency, accuracy, and customer experience. This role acts as the voice of the business ensuring that stakeholder requests are clearly defined and aligned with enterprise goals before transitioning to the Product and Planning team for Agile and Kan Ban execution. The BPO focuses on business requirements, stakeholder alignment, and intake governance while partnering with the Product and Planning team on prioritization and planning.

 

Responsibilities:

 

• Partners with Product and Planning on prioritization of the Claims backlog to align with business objectives and strategic initiatives.

• Support intake governance and escalation protocols.

• Oversee the refine of business requirements, features, user stories, acceptance criteria, and success measures.

• Serve as the primary liaison between Claims Operations, Product & Planning, Configuration, and Technology teams.

• Partners with Product and Planning Technical Product Owner (TPO) to act as the voice of the customer and business throughout discovery, development, testing, and implementation.

• Facilitate stakeholder alignment, prioritization discussions, and decision-making to maximize business value.

• Ensure backlog items meet Definition of Ready standards and support successful delivery outcomes.

• Analyze operational data, business metrics, and customer feedback to identify improvement opportunities and measure outcomes.

• Identify risks, dependencies, and process improvement opportunities, driving continuous improvement across product backlog and workflows.

• Participate in Agile planning events, backlog refinement, sprint reviews, and other team ceremonies.

Minimum Experience:

 

• Bachelor’s degree in Healthcare Administration, Information Systems, or a related field preferred.

• CSPO, SAFe POPM, or equivalent Product Owner certification

• Experience in healthcare claims operations, claims systems, or related payer business functions.

• Experience as a Product Owner, Business Analyst, Product Manager, or similar role supporting technology-enabled business solutions.

• Strong knowledge of Agile and Kan Ban methodologies and backlog management practices.

• Demonstrated ability to gather requirements, define business value, and translate complex business needs into actionable solutions.

• Strong stakeholder management, facilitation, communication, and relationship-building skills.

• Experience using Jira, Confluence, Smartsheet, or similar Agile and Kan Ban planning and collaboration tools.

• Strong analytical, problem-solving, and decision-making capabilities.

• Experience with claims adjudication, benefit configuration, provider reimbursement, or healthcare technology platforms.

• Experience supporting large-scale operational, system, or transformation initiatives

 

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 93,200 - 155,400 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.

At The Cigna Group, 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), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.

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 need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

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.