Healthcare Product Owner-Remote at CIS Technologies Inc | Torre

Healthcare Product Owner-Remote

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Freelance
Recurrent
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Remote (anywhere)
Shared by
Diana Montoya
25 days ago

Responsibilities


Role SummaryWe are looking for a Healthcare Functional Consultant with strong experience in patient access and authorization workflows within provider-side healthcare environments.The role will focus on understanding business processes across Prior Authorization, Eligibility & Benefits Verification, and Financial Clearance, and translating them into structured functional requirements and workflow designs.The ideal candidate should be comfortable working with cross-functional teams and supporting solution design, implementation, and testing.Experience in an oncology provider environment is preferred, not mandatory, including familiarity with workflows supporting chemotherapy, procedures, radiology, infusion, treatment readiness, and reimbursement coordination.Key ResponsibilitiesGather and document business and functional requirements across patient access workflowsDefine current-state and future-state workflows, including process steps, decision points, and exceptionsTranslate business needs into: functional requirements, user stories, process flows, acceptance criteriaSupport solution design across: Prior Authorization, Eligibility & Benefits Verification, Financial ClearanceIdentify process gaps, inefficiencies, and handoff issuesWork closely with business, operations, product, and technology teamsSupport UAT, defect validation, and requirement traceabilityMaintain structured and clear functional documentationRequired SkillsStrong understanding of patient access workflows in provider-side healthcareHands-on experience in at least 2 of the following areas: Prior Authorization; Eligibility & Benefits Verification; Financial ClearanceStrong skills in: requirements gathering; workflow analysis; process mappingAbility to translate business needs into clear functional documentationStrong communication and stakeholder management skillsAbility to work with both business users and technical teamsGood to Have (Not Mandatory)Exposure to: Revenue Cycle Management (RCM) downstream processesUnderstanding of: Payer-driven workflows; US healthcare reimbursement modelsExperience with: Case management or workflow platforms; Salesforce or similar systemsExperience working in Agile environmentsExposure to specialty care or oncology workflowsExperience Required7+ years of experience in: Healthcare operations; Functional consulting; Business analysisExperience in provider-side US healthcare environment preferredEducationBachelor’s degree in any disciplineDegrees in Healthcare Administration, Life Sciences, or related fields are preferred but not mandatory