Centene Corporation · Worldwide · Full-time · Remote
Position Purpose: Own the product strategy, roadmap, and end-to-end delivery for Payment Integrity platforms, including PISCES (Payment Integrity Systematic Code Editor Suite) pre-pay claim editing and Appeals/PI Bot automation. Translate Mission Simplify and Payment Integrity business priorities into execution-ready plans, requirements, and backlogs, using AI to improve speed, accuracy, and business outcomes.
• Develop, maintain, and publish the product strategy and multi-year roadmap for PISCES and Appeals/PI Automation capabilities, aligned to Payment Integrity, Mission Simplify, and BTS strategic priorities.
• Lead strategic initiatives from intake and discovery through planning and delivery, owning BRDs, capability/feature hierarchy, and delivery-ready Jira backlogs.
• Partner with Payment Integrity Operations, Engineering, Architecture, Project Management, and vendors to define scope, sequencing, dependencies, and success measures.
• Drive PI Planning, prioritization, and predictable feature delivery; proactively communicate risks, trade-offs, and decisions to leadership.
• Measure and report value realization, including savings, edit accuracy, automation rates, fallout, and cycle time.
• Apply AI tools (e.g., Microsoft Copilot, Windsurf, Jira Rovo) across discovery, requirements, documentation, and analysis, and champion responsible AI with human-in-the-loop controls.
• Measure the performance of a defined Domain space to assess efficiencies gained, value realized and ROI of product investments.
• Partner with Payment Integrity Operations, Engineering, Architecture, Project Management, and vendors to define scope, sequencing, dependencies, and success measures.
• Arbitrate portfolio impacts and delivery commitments for new or modified priorities.
• Reviews and influences user stories and milestones to guide Agile and Scrum teams to deliver consistently and inline with product roadmaps.
• Performs other duties as assigned.
• Complies with all polic