Damco Solutions
Website:
damcogroup.com
Job details:
Expected Skills/ Competency/JD
Product Strategy & Roadmap
• Define and execute the product vision and roadmap for US Health Insurance capabilities within InsureEdge.
• Translate business strategy and customer needs into product initiatives and measurable outcomes.
• Prioritize features based on customer value, market demand, regulatory requirements, and business objectives.
• Identify opportunities for product innovation, automation, and operational efficiency.
Product Ownership
• Own and manage the product backlog, ensuring features are clearly defined, prioritized, and aligned with business goals.
• Develop user stories, acceptance criteria, and functional requirements for engineering teams.
• Participate in sprint planning, backlog grooming, reviews, and retrospectives.
• Make product decisions balancing customer needs, technical feasibility, and commercial priorities.
Must Have Skill Set
Regulatory & Compliance
• Ensure product capabilities align with US healthcare and insurance regulations.
• Partner with compliance and legal teams to incorporate regulatory changes into the product roadmap.
• Support HIPAA-compliant workflows and secure handling of protected health information (PHI).
• Monitor regulatory changes affecting product functionality and customer requirements.
Customer & Market Engagement
• Engage with insurers, TPAs, brokers, employers, implementation teams, and customers to understand evolving market needs.
• Conduct market research and competitive analysis to identify opportunities and emerging trends.
• Gather customer feedback and incorporate insights into product improvements.
Good to Have Skill Set
US Health Insurance Domain
• Build and maintain capabilities supporting:
o Individual & Family Plans (ACA Marketplace)
o Employer Group Health
o Medicare Advantage & Medicare Supplement
o Medicaid Managed Care (where applicable)
o Dental, Vision, and Ancillary Benefits
• Ensure support for benefit plans, eligibility, enrollment, renewals, policy servicing, billing, and member lifecycle management.
• Drive product capabilities for plan configuration, benefit administration, provider networks, and digital servicing.
Domain Knowledge
• Strong understanding of:
o Commercial Health Insurance
o ACA Marketplace
o Employer Group Health Plans
o Medicare & Medicaid
o Health Plan Administration
o Member Enrollment & Eligibility
o Claims and Benefits Administration
o Provider Networks
o Premium Billing & Payments
o Digital Member and Broker Portals
o HIPAA and healthcare compliance requirements
• Knowledge of standards such as EDI 834, 835, 837, and FHIR is highly desirable.
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