Inovalon was founded in 1998 on the belief that technology, and data specifically, would empower the transformation of the entire healthcare ecosystem for the better, improving both outcomes and economics. At Inovalon, we believe that when our customers are successful in their missions, healthcare improves. Therefore, we focus on empowering them with data-driven solutions. And the momentum is building.
Together, as ONE Inovalon, we are a united force delivering solutions that address healthcare’s greatest needs. Through our mission-based culture of inclusion and innovation, our organization brings value not just to our customers, but to the millions of patients and members they serve.
Overview
The Senior Product Owner is responsible for establishing deep product expertise from both a technical and market perspective by understanding buyer and user personas, value proposition, benefits, features, functionality, competitive landscape, architecture, and technical components.
This individual will play a key role in advancing Inovalon’s Value-Based Care (VBC) strategy by defining and delivering technology that supports provider contracting, payment model management (capitation, shared savings, bundled payments, pay-for-performance, and quality incentives), and financial analytics. The Senior Product Owner will understand how health plans and providers operationalize value-based arrangements through technology and data-driven decision-making, ensuring our solutions enable efficiency, transparency, and measurable outcomes across the ecosystem.
This role collaborates closely with other product owners, product managers, scrum masters, and development managers to leverage Agile processes and tools that support product requirements, backlog management, sprint planning, and release execution. The Senior Product Owner owns and drives product release planning, backlog prioritization, user story elaboration, and cross-functional alignment with business and engineering leadership.
A strong understanding of software-as-a-service (SaaS) distribution models and healthcare data architecture is required.
Duties and Responsibilities
- Adopt and role model Agile behaviors while fostering an inclusive, collaborative, and high-performing team culture.
- Lead VBC product initiatives focused on financial performance management, incentive modeling, contract automation, and quality improvement analytics.
- Partner with internal and external stakeholders—including health plan executives, provider networks, and vendor partners—to inform product and feature design aligned with real-world VBC operations.
- Define detailed requirements for payment model configuration, attribution logic, incentive calculations, and contract performance tracking across multiple provider types and arrangements.
- Drive the design and prioritization of features that support risk adjustment, quality measure alignment (HEDIS, Stars, AHRQ), and provider performance management.
- Oversee the end-to-end delivery of product enhancements through the software development lifecycle, from concept and requirements through testing, deployment, adoption, and measurable value realization.
- Manage validation and testing of complex payment and incentive workflows, including user acceptance plans and cross-system integration points.
- Analyze the impact of proposed solutions on connected systems (claims, quality, care management, risk adjustment) to determine optimal approaches.
- Collaborate with Product Managers to shape product strategy and multi-year roadmaps that align with emerging CMS payment reform initiatives, ACO models, and payer-provider collaboration trends.
- Serve as a domain expert and trusted advisor to internal teams on VBC contracting mechanics, payment model design, and performance-based reimbursement workflows.
- Translate complex financial and operational models into actionable user stories, requirements, and acceptance criteria.
- Display effective time management across multiple initiatives, ensuring transparency, prioritization, and accountability.
Job Requirements
- Minimum 5+ years of experience in healthcare product ownership, business analysis, or product management roles with direct exposure to value-based care, payment methodologies, or provider contracting systems.
- Strong understanding of VBC financial models including capitation, bundled payments, shared savings, pay-for-performance, and risk-based contracting.
- Familiarity with risk adjustment, quality measurement (HEDIS, Stars, AHRQ, CAHPS), attribution models, and provider incentive frameworks.
- Experience working with or supporting health plan operations, provider engagement platforms, or financial performance analytics tools.
- Demonstrated success delivering SaaS-based healthcare solutions leveraging Agile or Scaled Agile (SAFe) methodologies.
- Proven ability to communicate complex technical and financial concepts to business and clinical audiences.
- Strong business acumen and ability to connect product features to financial and operational outcomes.
- Agile/SCRUM certification strongly preferred.
- Excellent interpersonal, written, and oral communication skills.
- Experience in a fast-paced, cross-functional environment managing multiple priorities.
- Proficiency in Microsoft Office tools (Word, Excel, PowerPoint) required; experience with analytics or BI tools (Power BI, Tableau) preferred.
Education
Bachelor’s degree required; preference for degrees in Healthcare Administration, Business, Information Systems, or related fields.
Master’s degree or certifications in Healthcare Management, Value-Based Care, or Payment Innovation programs are a plus.
Physical Demands and Work Environment:
- Sedentary work (i.e., sitting for long periods of time);
- Exerting up to 10 pounds of force occasionally and/or negligible amount of force;
- Frequently or constantly to lift, carry push, pull or otherwise move objects and repetitive motions;
- Subject to inside environmental conditions; and
- Travel for this position will include up to 10%.
This position is not eligible for immigration sponsorship (e.g. H-1B, TN, or E-3). Applicants must be authorized to work in the United States as a condition of employment. (This is only applicable for US-based positions)
If you don’t meet every qualification listed but are excited about our mission and the work described, we encourage you to apply. Inovalon is most interested in finding the best candidate for the job, and you may be just the right person for this or other roles.
By embracing inclusion, we enhance our work environment and drive business success. Inovalon strives to provide equal opportunities to the communities where we operate and to our clients and everyone whom we serve. We endeavor to create a culture of inclusion in which our associates feel empowered to bring their full, authentic selves to work and pursue their professional goals in an equitable setting. We understand that by fostering this type of culture, and welcoming different perspectives, we generate innovation and growth.
Inovalon is proud to be an equal opportunity workplace. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirement.
To review the legal requirements, including all labor law posters, please visit this link
To review the California Consumer Privacy Statement: Disclosures for California Residents, please visit this link
