Sierra Solutions

Compensation

Full Description

Job Summary We are seeking a strategic and execution-oriented Product Owner / Solution Architect with deep health plan provider data expertise to lead the product strategy, roadmap execution, and cross-functional delivery of a modern provider data platform. This role will own the end-to-end product lifecycle for the organization's provider data ecosystem — establishing a scalable "system of truth,” driving API-enabled modernization, and implementing a formal provider data quality and governance program. The ideal candidate combines strong product management discipline, program execution leadership, and solution architecture depth within complex payer environments. Primary Responsibilities Product Strategy & Roadmap Ownership • Define and own the multi-quarter product roadmap for provider data modernization • Prioritize initiatives based on business value, risk reduction, automation impact, and regulatory requirements • Establish KPIs for provider data accuracy, reconciliation cycle time, API adoption, and platform utilization • Manage backlog, define epics and user stories, and support Agile delivery cycles • Drive stakeholder alignment and executive visibility into roadmap progress Platform Modernization & Integration Leadership • Establish the provider data platform as the enterprise system of record / system of truth • Lead the transition from manual and batch-based processes to API-driven integrations • Define integration strategy across CAQH, Symplr, Cactus, Facets, and downstream systems • Partner with engineering to define technical requirements and scalable architecture patterns • Evaluate system handoffs and eliminate integration gaps across credentialing and core administration platforms Provider Data Domain & Workflow Optimization Apply deep understanding of health plan provider workflows including: • Credentialing • Contracting • Provider enrollment • Directory management • Roster reconciliation • Downstream data distribution • Map current-state workflows and define future-state optimized models • Identify automation opportunities that reduce manual reconciliation and operational risk • Standardize data flows across credentialing and core administrative systems Data Quality & Governance Program Leadership • Design and implement a formal Provider Data Quality Framework • Define measurable data quality KPIs (accuracy, timeliness, completeness, reconciliation variance) • Establish validation rules, monitoring dashboards, and escalation workflows • Improve and scale weekly reconciliation processes • Create governance standards across source systems and downstream consumers • Ensure alignment and consistency across CAQH, Symplr, Cactus, Facets, and the provider data platform • Build durable documentation for both manual and automated processes Cross-Functional Delivery & Program Leadership • Act as the primary liaison between operations, credentialing, provider network, IT, and engineering • Drive structured intake, prioritization, and delivery governance processes • Distribute work across project teams and ensure alignment with overall product strategy • Provide architectural oversight for API and development initiatives • Potentially serve as U.S.-based functional/technical lead for expanding API and engineering capabilities • Drive adoption and change management across business stakeholders Education and Experience • 8+ years in health plan operations, provider data management, payer IT, or healthcare product environments • Proven experience in Product Owner, Product Manager, Program Manager, or Solution Architect roles • Deep expertise in provider data lifecycle management • Hands-on experience with: CAQH, Facets, Cactus, Symplr Payer • Experience leading cross-functional product initiatives from strategy through delivery • Experience improving provider data accuracy and reconciliation processes • Experience modernizing integrations (batch to API transitions) • Strong understanding of provider data integration patterns and API architecture • Experience building and managing product roadmaps and backlogs • Ability to translate complex business workflows into structured technical requirements • Experience designing system-of-truth and data governance frameworks • Familiarity with compliance and provider directory regulatory requirements • Experience working with distributed engineering teams in Agile environments