Stars Technology Business Intelligence Lead Product Owner jobs in United States
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Humana · 3 months ago

Stars Technology Business Intelligence Lead Product Owner

Humana is committed to putting health first and is seeking a Lead Technical Product Owner to drive the development of data products related to CMS Stars and HEDIS quality measures. The role involves leading the strategy and roadmap of data products while collaborating with various stakeholders to ensure compliance with healthcare standards.

Health CareHealth InsuranceInsuranceVenture Capital
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H1B Sponsor Likelynote

Responsibilities

Define and maintain the vision, strategy, and roadmap for data products that enable CMS Stars and HEDIS reporting. Ensure alignment with enterprise goals and departmental priorities
Own, groom, and prioritize the product backlog for one or more agile teams, ensuring it reflects business needs, regulatory changes, and technical dependencies
Elicit detailed requirements from stakeholders (e.g., business, compliance, and analytics) and translate them into clear user stories with defined acceptance criteria for development teams
Act as the primary liaison between business stakeholders and technical teams. Facilitate communication and alignment across data engineering, analytics, compliance, and QA teams
Work closely with data architects and engineers to design and validate data flows, mappings, and transformations. Provide guidance to ensure technical solutions are feasible and aligned with the product vision
Collaborate with governance teams to establish data quality benchmarks and implement testing protocols. Ensure data products adhere to CMS mandates and NCQA standards
Advocate for the resolution of technical debt and architectural improvements, balancing short-term feature delivery with long-term product sustainability
Monitor evolving CMS, NCQA, and HEDIS requirements and coordinate necessary updates in response to specification changes

Qualification

HEDIS measurementCMS Stars programsData flow & analysisAgile product developmentData quality complianceSQLData miningPredictive modelingCross-functional collaborationVerbal/written communication

Required

Bachelor's degree
8 or more years of experience in data flow & analysis and software application building & enhancements
2 or more years of project leadership experience
Strong experience with healthcare data, particularly clinical and claims data used in HEDIS measurement
Familiarity with CMS Stars programs, NCQA standards, and quality performance metrics
Advanced experience working with big and complex data sets within large organizations
Experience analyzing data to solve a wide variety of business problems and create data visualizations that drive strategic direction
Proven ability to work with cross-functional teams and translate requirements between business, project management and technical projects or programs
Proficiency in understanding Healthcare related data
Proficiency in verbal/written communication to senior and executive leadership

Preferred

Advanced Degree in a quantitative discipline, such as Mathematics, Economics, Finance, Statistics, Computer Science, Engineering or related field
Knowledge of NCQA, CMS, and health plan quality measurement programs
Deep understanding of healthcare interoperability standards (e.g., HL7, FHIR, X12)
Advanced in SQL, SAS and other data systems
Expertise in data mining, forecasting, simulation, and/or predictive modeling
Experience creating analytics solutions for various healthcare sectors

Benefits

Medical
Dental and vision benefits
401(k) retirement savings plan
Paid time off
Company and personal holidays
Volunteer time off
Paid parental and caregiver leave
Short-term and long-term disability
Life insurance

Company

Humana is a health insurance provider for individuals, families, and businesses.

H1B Sponsorship

Humana has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (282)
2024 (246)
2023 (284)
2022 (274)
2021 (212)
2020 (84)

Funding

Current Stage
Public Company
Total Funding
$13.07B
2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B

Leadership Team

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Jim Rechtin
CEO and President
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Caleb Gallifant
Chief Operating Officer, CenterWell Home Health
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Company data provided by crunchbase