Product Owner, Business Intelligence and Claim Modeling

Zelis • St. Louis, MO

13d • $95,000 - $120,650 • Hybrid

About The Position

At Zelis, we Get Stuff Done. So, let’s get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts – driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview The Product Owner for Business Intelligence and Claim Modeling plays a central role in shaping the analytical capabilities that drive client insight, operational transparency, and strategic decision-making. This role owns the vision, roadmap, and execution for our internal Business Intelligence dashboards as well as our claims modeling product—ensuring each delivers measurable value, intuitive user experiences, and actionable intelligence for both clients and internal teams. As a key member of the Product organization, the Product Owner partners closely with Client Services, Business Analysts, Engineering, and Technical Writing to manage product enhancements, translate business needs into scalable solutions, and ensure high-quality documentation and support resources. This role also serves as a primary point of contact for client relationships related to BI and modeling, helping to interpret trends, address questions, resolve issues, and bring the “voice of the customer” into product planning. The ideal candidate blends strong analytical thinking, client empathy, technical fluency, and a proactive, collaborative approach to product delivery. They will work cross-functionally to refine requirements, prioritize backlog items, guide development teams, and maintain alignment between strategic objectives and day-to-day execution.

Requirements

• Bachelor’s Degree Preferred in business, healthcare, or technology
• 5+ years of experience as a healthcare data analyst or BI Product Owner
• A hands-on leader who thrives in an entrepreneurial, collaborative, and growth-oriented environment
• 5+ years of experienced healthcare industry business analyst with expertise in managed care, claims pricing/adjudication, EDI, government programs
• Strong SQL experience required (Select, Joins, CTE, Sub Queries)
• Knowledge of SDLC methodologies including experience working in an Agile environment
• Experience with the Atlassian suite of products (Jira, Confluence, etc.) and/or Product Board is a plus
• Experience in Data Visualization tools such as Tableau and Sigma
• Experience in product development life cycle
• Experience with writing business requirements, technical requirements, user stories, enabler stories, functional specifications, and/or quality assurance testing
• Fluent with Microsoft Office Suite including Visio and/or Lucid Workflow diagram creation and wireframe creation
• Creative problem-solving skills, leveraging insights and input from other parts of an organization
• Demonstrated ability to evaluate and balance team and individual workloads through effective time management, prioritization, and organizational skills
• Financial modeling and strong analytical skills
• Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future.

Nice To Haves

• Preferred skills include formal training/certifications in Business/System analysis; familiarity with latest UI/UX design guidelines; knowledge/experience with SAFe/Agile methodologies; prototyping experience

Responsibilities

• Partner with leadership to evaluate performance trends and recommend roadmap adjustments aligned with divisional growth objectives.
• Participate in relevant Agile ceremonies: Daily Stand-Ups, Backlog Grooming, Sprint Planning, Sprint Review, Sprint Retrospective.
• Assist with the elaboration of the user stories and requirements, supporting team members with their work where required
• Own the roadmap and delivery for internal Business Intelligence dashboards, ensuring the tools provide clear insights, trend analysis, and operational value for customers and internal stakeholders.
• Lead product strategy and enhancements for the claims modeling product, ensuring alignment with client needs and business goals.
• Manage client relationships related to business intelligence and modeling solutions, including addressing inquiries, interpreting insights, and supporting client-facing teams.
• Define, implement, and maintain business processes and procedures to meet business objectives.
• Analyze and identify opportunities for business process improvements.
• Coordinate with Technical Writers to ensure system documentation, release notes, and training materials are accurate, clear, and user-friendly.
• Critically evaluate information gathered from multiple sources, reconcile conflicts, and decompose high-level information into details.
• Create and maintain workflows, approval processes, and validation rules based on internal stakeholder requirements.
• Create training materials and documentation for internal and/or external applications.
• Perform a thorough gap analysis of existing potential functionality for internal and/or external applications.
• Perform analysis and identify gaps in functionality for system integrations.
• Collaborate with the Scrum team to establish technical vision and analyze tradeoffs between usability and performance needs.
• Improves systems by studying current practices and designing modifications.
• Define acceptance criteria and oversee UAT validation to ensure alignment with business intent.
• Department, Research Department and Operations teams) as needed
• Keep abreast of issues to identify enhancements and process improvement opportunities
• Accurately scopes out projects, sets objectives, and goals, develops schedules, measures performance against goals, and evaluates results
• Proactively identify gaps in data transparency or modeling accuracy and propose product enhancements.
• Ensure adherence to quality assurance guidelines
• Maintains awareness of and ensures adherence to ZELIS standards regarding privacy.

Benefits

• Zelis’ full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees’ health, well-being, and financial protection.
• The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level