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AI Summary
The Product Owner manages the team backlog and delivery outcomes for utilization management products, translating strategy into epics and user stories. They collaborate with cross-functional teams to prioritize features and ensure quality through clear acceptance criteria.
About OncoHealth
OncoHealth is a leading digital health company dedicated to helping health plans, employers, providers, and patients navigate the physical, mental, and financial complexities of cancer through technology enabled services. Supporting more than 14 million people in the US and Puerto Rico, OncoHealth offers digital solutions for treatment review and virtual care across all cancer types.
About the Role
The Product Owner – Utilization Management Applications will own the team backlog and delivery outcomes for OncoHealth’s utilization management (UM) products and capabilities. This role partners closely with Product Management, Engineering, Clinical (e.g., UM nurses/medical directors), Operations, Compliance/Privacy, and Client Success to translate product strategy into clearly defined epics, features, and user stories that improve UM effectiveness, turnaround time, appropriateness, and auditability. The Product Owner drives day-to-day prioritization and release readiness, ensures quality through clear acceptance criteria and stakeholder alignment, and enables the product team to execute efficiently in an agile, fast-moving environment.
Primary Responsibilities
- Partner with Product Management to understand and help execute product vision, strategy, objectives, and success metrics for UM applications and workflows (e.g., prior authorization, medical necessity review, determinations, appeals, and reporting).
- Translate discovery outputs into clearly defined epics, features, and user stories with acceptance criteria, decision logic, data requirements, and dependencies (including upstream/downstream integrations).
- Facilitate backlog refinement to ensure stories are sized appropriately, testable, and ready for sprint planning (including clear acceptance criteria, business rules, regulatory/compliance considerations, and non-functional requirements such as security and availability).
- Own the sprint backlog by defining priorities, clarifying scope, and making tradeoff decisions with the delivery team to meet agreed outcomes for UM capabilities and client commitments.
- Serve as product and domain SME for UM applications across Product, Engineering, Clinical, Operations, Implementation, and Client Success teams.
- Use quantitative and qualitative insights (production metrics, user feedback, operational reviews, and client feedback) to identify opportunities, validate impact, and inform backlog priorities.
About You
- Bachelor’s degree or relevant experience required. Agile/Scrum training or certifications preferred.
- Typical years of experience are 2–4 years in product management, business analysis, product ownership, and/or software product development. Some incumbents may gain these skills or capabilities in other ways and must be demonstrated.
- Experience delivering workflow-based enterprise applications in an Agile environment required.
- Prior experience with utilization management, prior authorization, care management operations, or payer/provider clinical operations preferred; healthcare regulatory/compliance exposure (e.g., URAC/NCQA-aligned processes) a plus.
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Must possess servant leadership qualities, including empowering teams, fostering collaboration, and influencing through clear communication and stewardship.
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Strong ability to translate strategy into executable backlog, write clear and testable requirements (including workflow states, decision logic, and data requirements), facilitate stakeholder alignment across clinical and operational groups, and make prioritization decisions using data and user insights.
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Demonstrated comfort working with regulated processes and sensitive health information.
- Systems/Tools: MS Office Suite and general execution and delivery systems and collaboration tools (e.g., Azure DevOps, Jira, Confluence, Visio/Miro, etc.). Familiarity with workflow management, rules/configuration, reporting/analytics, and healthcare data concepts is preferred.
About the Location
OncoHealth is committed to remote, hybrid or in office work options. The majority of the team will be remote or in hybrid work arrangements with offices in Atlanta, GA and Guaynabo, PR. We are open to employees nationwide but work primarily in the Eastern and Central Time Zones.
Our Culture
Taking ownership of quick action, critically thinking through the needs, and working well with others are key competencies of team member success. Our leadership is dedicated to building a culture based on respect, clinical excellence, innovation – all with a focused mission of putting patients first!
We offer a full benefit package on your first day, along with a company bonus. You may visit or work from our very modern and engaging offices, and experience a fun, collaborative environment where social activities and community events matter. We enjoy being together!
OncoHealth is committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and team members without regard to race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law. All employment decisions are based on qualifications, merit, and business need.
The Opportunity
The cost of cancer related medical services and prescription drugs in the United States is expected to reach $246 billion by 2030. OncoHealth has enjoyed rapid growth over the past 3 years and seeks smart, collaborative people to join its team. We have just under 250 team members, so we can move swiftly but precisely to the market needs of our customers. Strongly backed financially by Arsenal Capital Partners & McKesson Corporation, we remain in an investment and growth mode. This means we are open-minded to how we get the work done – now is the perfect time to talk to us!
Our Current Solutions
Through the use of OncoHealth's utilization management system, OneUM, our customers can use a single e-Prior Authorization portal for all oncology drug request and treatments. Our system improves quality of care, reduces provider abrasion and gives health plans visibility into the total cost of oncology treatment.
OncoHealth offers Oncology Insights Pro, an analytic software solution that enables health plans to use data and analytics to improve oncology programs. Using real world data, our engineers normalize data to create analytic dashboards with drill down compatibilities. The data is the paired with expert guidance providing the strategies an insight needed to keep up with the continuing evolving cancer treatment landscape.
OncoHealth offers Pharmacy Consulting services to health plans and pharmaceutical companies. New cancer treatments are entering the market at an unrelenting pace. Since 2018, the FDA approved 121 new cancer applications including 49 novel cancer drug entities. Our Board-Certified Oncology Pharmacologists can help health plans update drug policies, offer utilization management and formulary advice, and development training for staff.
OncoHealth's latest offering is Iris, a digital telehealth platform that delivers personalized, oncology-specific support to navigate the physical symptoms and emotional challenges caused by cancer and cancer treatment. Powered by technology, staffed 24X7, and delivered with empathy, Iris allows patients to connect with trained oncology experts and receive personalized, oncology-specific telehealth support.
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