Enterprise Business Technology Lead

Job Summary

The Technical Product Manager (TPM) II serves as a strategic bridge between business stakeholders and solution delivery teams within a specific domain cluster that supports key functions and capabilities of the health plan. In this position, the TPM II owns a primary domain and is accountable for ensuring Information Technology (IT) solutions deliver measurable improvements in business outcomes and business value. This position ensures the successful delivery of digital and operational solutions aligned with the organization’s strategic goals.

Duties

• Collaborates with stakeholders to define the product vision, solution intent, scope, and roadmap within the assigned domain cluster, ensuring initiatives are aligned with strategic objectives, measurable business outcomes, and consistent value delivery across related business functions.
• Leads the creation of clear problem statements and desired outcomes from complex business needs within the domain cluster, enabling technically ready requirements for IT and development teams. Ensures requirements are accurate, complete, timely, and aligned with defined success metrics to support cluster-level product strategy.
• Collaborates with business and IT stakeholders to ensure solutions meet the business intent of the cluster and align with reference architecture and governance standards. Evaluates technical dependencies and trade-offs within the cluster and ensures requirements are technically ready.
• Supports backlog prioritization with Business Owners for initiatives within the cluster, participates in sprint planning and review sessions, and facilitates alignment to support successful execution of cluster-level initiatives.
• Participates in solution delivery activities to ensure alignment with business intent, success metrics, and regulatory requirements. Monitors product performance within the domain, identifies improvement opportunities, and leverages data and analytics to validate outcomes and inform enhancements.
• Collaborates with IT and business partners to ensure solutions within the domain comply with Health Insurance Portability and Accountability Act (HIPAA), Centers for Medicare and Medicaid Services (CMS), Department of Health Care Services (DHCS), and other relevant regulatory requirements.
• Pairs with business owners, leaders, and subject matter experts (SMEs) to ensure technology delivery aligns with domain initiatives. Leads facilitated cross-functional workshops within the domain to identify key problems, define solution approaches, and promote alignment across business and IT stakeholders.
• Applies domain knowledge to identify opportunities that enhance the needs and goals of their assigned business verticals and raise those to relevant IT and business stakeholders.
• Performs other duties as assigned.

Education Required

At least 6 years of experience in a health plan, payer organization and/or health system, ideally as a Technical Product Management or similar role that bridges the business and IT.

Experience

• Experience in at least one of the following healthcare domains:
• Customer Engagement / Front Office Operations: enrollment and eligibility, call center, member/provider portals, member outreach, appeals and grievances, sales/marketing portals
• Health Services Delivery & Quality Oversight: care management, population health, behavioral health, pharmacy, UM authorizations, quality oversight, other health care delivery areas.
• Provider Network Operations / Data: provider portals, provider data management & network operations enablement, Prior Authorization Interoperability (PAI) submission workflows
• Finance / Claims / HR / Compliance Enablement: claims processing & payments, payment integrity, encounter processing, billing/reporting, HR/compliance systems

Skills

• Understanding of SDLC and agile delivery processes.
• Ability to translate business needs into clear problem statements that define desired outcomes and goals.
• Ability to develop structured problem statements, workflows, documentation, and supporting artifacts that translate business and regulatory requirements into technically ready functional requirements for IT and development teams.
• Strong communication, collaboration, and stakeholder management skills, with the ability to understand and communicate business requirements to a diverse group of key stakeholders and facilitate alignment between business and IT systems.
• Knowledge of Jira, Confluence, or similar project management tools to manage requirements, backlogs, and solution delivery.
• Understanding of data models, system interfaces, APIs, and enterprise reference architecture with the ability to communicate integration concepts and solution dependencies effectively to both IT and business teams.
• Strong analytical and problem-solving skills.
• Knowledge of health plan and/or health system systems and applications, including core operational systems, upstream and downstream interfaces, workflows, and digital platforms (e.g., QNXT (Claims/Utilization Management (UM)), Salesforce Health Cloud, Care Advanced, or comparable healthcare applications).
• Strong understanding of healthcare regulatory requirements including HIPAA, CMS, DHCS, and other payer frameworks.

Physical Requirements

N/A

Additional Information

L.A. Care offers a wide range of benefits including

• Paid Time Off (PTO)
• Tuition Reimbursement
• Retail Plans
• Medical, Dental and Vision
• Wellness Program
• Volunteer Time Off (VTO)