Payment Integrity Agile Product Manager

Elevance Health
Mason, OH

Location: Indianapolis IN, Atlanta GA, Richmond VA, Woodland Hills CA, Grand Prairie TX, Mason OH, Tampa FL, Chicago IL

Hours: Standard Working hours (Mon-Fri 8:00AM - 5:00PM)

Travel: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

Position Overview:

Responsible for representing the needs and desires of the stakeholder community to the team of Agile teams and will be the experts on the market and the customer. This role would specifically support the Edits business unit under Payment Integrity. Accountable for one or more Agile teams and drives the solution concept across these multiple teams.

How You Will Make an Impact:

  • Defines and Prioritizes Features for Program Backlog

  • Facilitates and Presents Features to System Architect and Dev Leads during Roadmap/Feature Refinement

  • Creates and Maintains Program Roadmap

  • Focused on the business case product strategy/definition/positioning road map development portfolio management full competitive analysis win/loss analysis forecasting and value delivery through the ecosystem

  • Communicate the customer needs and participates in validation of proposed solutions

  • Collaborate with the Product Owners to continuously develop and communicate the vision for the scrum teams and are key to efficient and effective development

  • Responsible for the Program Epic/Initiative backlog at the Agile Lean Program Level

  • Partner with the stakeholders to develop the business case for Epics/features that affect the Agile Release Train (ART) or Team of Agile Teams and makes decisions regarding what epics/features the product or program will have based on the understanding of the customer needs

  • Utilize the right key performance indicators (KPIs) to measure the product performance

  • Supports portfolio work including budget parameters and strategic themes

  • Advocates for current and future funding and drives requests for funding and secures budget for the continuous flow of value to customers

  • Collaborates with the system and solution architects to assist with decision-making and sequencing of the key technical aspects to support the new business functionality

  • Builds an effective product manager/product owner team for multiple trains in support of their value stream but may not necessarily report to the same organization

  • Mentors Product Managers to confidently drive solutions across teams

  • Key driver of business value delivery at the program level

Required Qualifications:

  • Requires a BA/BS and minimum of 8 years experience with writing business/functional requirements and experience implementing Agile methodologies; or any combination of education and experience, which would provide an equivalent background

  • SAFe (SA) certification required

Preferred Qualifications:

  • Payment integrity experience is a must have

  • Advanced experience with Jira is a must

  • Experience with Edits within payment integrity space strongly preferred

  • Demonstrated success translating business strategy and customer needs into project roadmaps preferred

  • Direct experience owning Edit Logic, rules engine, Validation workflows preferred

  • Experience building and implementing roadmaps

  • Intermediate experience with Power point, AHA! Preferred

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $111,760 to $192,785

Locations: California; Illinois

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

  • The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Posted 2026-02-10

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