Contract Modeling Product Owner

Role overview A contract product owner is needed to lead the design and delivery of a healthcare contract modeling platform that turns complex payer contract language into scalable business rules. The role acts as the central liaison between reimbursement subject matter experts, product leadership, and engineering teams, owning requirements, backlog prioritization, and modeling logic across the product lifecycle.

Responsibilities - Define and drive the roadmap, requirements, and product backlog for a healthcare contract modeling platform. - Translate complex payer contract terms into detailed business rules, user stories, and technical specifications. - Design and validate reimbursement modeling logic across DRG, APC, per diem, case rate, stop-loss, outlier, and other payment methodologies. - Partner with engineers, architects, QA teams, and external development partners to deliver scalable product functionality. - Support AI-powered contract extraction and automation by validating interpretations, defining review processes, and establishing governance standards. - Gather customer and market input to shape future capabilities such as underpayment detection, contract compliance, scenario modeling, revenue forecasting, and strategic pricing.

Requirements - Five or more years of experience in healthcare reimbursement, managed care contracting, revenue cycle, or contract management. - Bachelor's degree in Healthcare Administration, Business, Finance, Information Systems, or a related field. - Deep expertise interpreting commercial payer contracts and reimbursement models, including DRG, APC, per diem, and case-rate methodologies. - Demonstrated ability to gather business requirements and partner with software development teams to deliver technology solutions. - Strong knowledge of healthcare financial data, claims adjudication, and reimbursement analytics. - Legal authorization to work in the United States; visa sponsorship is not available for this role.

Nice to have - Hands-on experience with product ownership practices, contract modeling platforms, Agile delivery, and AI-driven document automation.