Product Owner / Lead Data Solutions Analyst (EHR Clinical Data Exchanges)

Location: Pittsburgh PA, 15222, PAP, Penn Avenue Place

Remote Type: Hybrid

Time Type: Full time

Job Description

Company :

Job Description : 

JOB SUMMARY

This position serves as the Product Owner for a dedicated Agile scrum team focused on Electronic Health Record (EHR) Clinical Data Exchanges (CDE) and Integration. The role owns the product backlog for integrations, data curation and transformation, and downstream use-case/consumption enablement. The Product Owner acts as the critical bridge between business stakeholders, clinical partners, and technical delivery teams, translating complex healthcare interoperability requirements—such as HL7 standards, FHIR, and EHR platform integrations—into actionable user stories. This role requires deep expertise in payer/provider data exchange, quality measures (HEDIS/Stars), and Agile Scrum methodologies.

ESSENTIAL RESPONSIBILITIES

• Product Ownership & Backlog Management: Serve as Product Owner for the EHR CDE and Integration scrum team, defining product vision, managing and prioritizing the backlog, writing user stories, and leading sprint planning and reviews.
• EHR & Clinical Data Exchange Expertise: Drive integration capabilities leveraging EHR system data exchanges for payer/provider mutual benefit across platforms such as Epic (including Epic Payer Platform), Athena Health, Veradigm eCC, Oracle Health, and Medent.
• Healthcare Domain & Quality Standards Integration: Apply deep knowledge of HEDIS (Healthcare Effectiveness Data and Information Set), NCQA/Stars ratings for CMS/ONC reimbursement, Risk Adjustment, Utilization Management, and Care Management practices to shape data curation and downstream consumption.
• Interoperability Standards: Incorporate healthcare data exchange standards and formats into product requirements, including HL7 v2 (ADT, SIU, ORU), HL7 v3 (CDA, CCD), and Fast Healthcare Interoperability Resources (FHIR).
• Stakeholder Collaboration & Executive Communication: Collaborate closely with senior stakeholders for requirements gathering, strategic prioritization, executive communication, and conflict resolution. Act as the primary business voice for the scrum team.
• Technical & Architectural Familiarity: Work effectively alongside Data Engineers and Architects, maintaining familiarity with Data Lakehouse architecture concepts, GitHub/DevOps CI/CD, YAML, and Cloud Infrastructure as Code (IaC).
• Other duties as assigned or requested.

EXPERIENCE

Required

• 7 years of experience in IS/IT

Preferred

• 5 years of experience in Process Improvement

• 3 years of experience in Project Management

• 3 years of experience in Health Insurance Industry

• 3 years of experience in Healthcare Industry

SKILLS

• 5+ years of experience in healthcare data analysis, product management, or business systems analysis within the Healthcare or Health Insurance industry.
• 3+ years of experience functioning in an Agile Scrum environment as a Product Owner or in a closely related product-owning capacity (Certified Scrum Product Owner [CSPO] or similar certification preferred).
• Demonstrated experience with EHR systems (Epic, Athena, etc.) and healthcare interoperability standards (HL7, FHIR).
• Strong knowledge of payer clinical programs, including HEDIS, Stars, Risk Adjustment, and Care Management.

SKILLS

• Agile Scrum Methodology & Product Ownership (CSPO certification preferred)
• Healthcare Data Exchange Standards (HL7 v2/v3, FHIR, CDA, CCD)
• EHR Platform Integration (Epic, Athena Health, Oracle Health, etc.)
• Payer Clinical Domains (HEDIS, NCQA/Stars, Risk Adjustment, Utilization Management)
• Stakeholder Management, Prioritization, & Executive Communication
• Technical Familiarity (Data Lakehouse concepts, DevOps/CI/CD, SQL)

EDUCATION

Required

• Bachelor’s degree in Business Administration, Business Management, Information Technology, Information Systems or related field

Substitutions

• None

Preferred

• Master's degree in Business Administration, Business Management, Information Technology, Information Systems or related field

LICENSES or CERTIFICATIONS

Required

• None

Preferred

• Six Sigma

• Project Management Professional (PMP)

Language (Other than English):

None

Travel Requirement:

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office- Hybrid

Teaches / trains others

Occasionally

Travel from the office to various work sites or from site-to-site

Rarely

Physical work site required

No

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Occasionally

Lifting: 25 to 50 pounds

Rarely

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. 

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

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