What are the responsibilities and job description for the BILLING PRODUCT OWNER - REMOTE position at Palco?
BILLING PRODUCT OWNER
Palco is a visionary company pioneering an emerging health-care movement that empowers people with disabilities and those aging to live independent and quality lives. Made possible by our amazing team, Palco provides technology and financial services to aid individuals and their families to thrive in their home and communities. Partnered with government agencies and fortune 500 managed care organizations across the country, we are dedicated to creating exceptional outcomes for our clients and the millions of people that count on them. We are a highly organized company that offers a solid work/life balance, autonomy, generous paid time off, bonus potential, and career advancement opportunities. Our staff make long-lasting impact on the lives of people every day.
We are looking for a Medicaid Billing & EVV Product Owner to oversee product development related to Medicaid billing, electronic visit verification (EVV), and compliance. This role will be responsible for ensuring our platform meets state and federal healthcare regulations while optimizing billing accuracy and claim processing.
The ideal candidate will lead the end-to-end delivery of product features and integrations, ensuring seamless communication between platforms, compliance with healthcare regulations, and enhanced client satisfaction. This role requires a strong understanding of healthcare technology, client needs, and system workflows.
Key Responsibilities:
- Product Strategy & Development
- Define and execute the roadmap for Medicaid billing and EVV integrations.
- Define and prioritize the product roadmap for payroll features and integrations.
- Collaborate with engineering teams to develop automated billing processing tools.
- Ensure compliance with federal, state Medicaid billing requirements.
- Work closely with engineering, design, and QA teams to deliver high-quality products on time.
- Lead product enhancements related to reimbursement, claims management, and reporting.
- Implementations & Client Success
- Oversee and support client onboarding, training, and product rollout to ensure successful implementations.
- Collaborate with cross-functional teams, including operations, client support, and compliance, to ensure smooth deployments.
- Act as the primary point of contact for clients during the implementation and integration phases
- Integration Management
- Manage integrations with Medicaid billing processors, clearinghouses, and EVV providers.
- Oversee compliance with HIPAA, EVV mandates, and state-specific Medicaid billing rules.
- Monitor industry changes and ensure platform adjustments to maintain compliance.
- Manage integrations with third-party platforms, including billing processors, state Medicaid systems, electronic visit verification (EVV) providers, and HR software.
- Ensure product compliance with federal and state Medicaid requirements and other healthcare regulations.
- Collaborate with cross-functional teams, including operations, client support, and compliance, to ensure smooth deployments.
- Act as the primary point of contact for clients during the implementation and integration phases.
- Ensure product compliance with federal and state Medicaid requirements and other healthcare regulations.
- Continuously monitor the performance of integrations and address any issues or enhancements.
- Stakeholder & Compliance Collaboration
- Partner with client support teams to address billing challenges and streamline claim approvals.
- Work with engineering to implement system improvements based on user feedback.
- Industry & Compliance Expertise
- Stay up-to-date with Medicaid policies, home care regulations, and emerging trends in healthcare technology.
- Ensure the product meets compliance standards for Medicaid billing, HIPAA, and state-specific EVV mandates.
Qualifications:
- Bachelor’s degree in Healthcare Administration, Business, or related field.
- 5 years of experience in Medicaid billing product management.
- Strong understanding of Medicaid reimbursement, EVV, and compliance regulations.
- Experience with billing platforms, claims processing, and state healthcare systems.
- Strong knowledge of Medicaid billing workflows, state healthcare regulations, and EVV systems.
- Exceptional project management skills and the ability to manage multiple complex implementations simultaneously.
- Excellent communication, leadership, and client relationship management skills.
Preferred:
- Experience in SaaS or healthcare software companies.
- Familiarity with Agile and Scrum methodologies.
- Knowledge of APIs and integration frameworks.
Join Us
This position is remote/work-from-home role. Enjoy the convenience of working from home and maximize your time by unplugging at the end of your workday.
Company benefits designed for you:
- Generous Paid time off.
- Quarterly/Annual bonus potential.
- Retirement Savings: We will support you as you save for your future.
- Career Growth Opportunities: We help you thrive, so together, we can grow. We provide opportunities to advance your career with a vast portfolio of businesses and a global footprint.
- Paid Training: Earn while you learn, and continue to grow with access to internal and external learning opportunities.
- Great Work Environment: We are proud of our company culture of collaboration and the recognition we’ve received for our diversity efforts.
When you join Palco, you are engaged in creating the future - both our company’s, the people we serve, and your own. We understand that our success is directly related to the success of our team. We strive to create a culture where you can:
- Bring your authentic self to work.
- Grow and thrive, both personally and professionally.
- Make a difference with our clients, in our communities, and with the millions of people we support.
- Experience work/life balance.
- Feel value and a greater purpose through the work you do.
Palco, Inc. is an Equal Employment Opportunity (EEO) employer and does not discriminate in any employer/employee relations based on race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.
