Technical Product Manager Health Plan Systems

Senior Technical Product Manager - Health Plan Technology & Delivery

Location: Hybrid (Local to NYC)

Duration: Contract / Contract-to-Hire

Industry: Healthcare, Health Insurance, Managed Care

Overview

We are seeking a Senior Technical Product Manager (TPM) with strong Healthcare Payer expertise to lead the product strategy, technical planning, and delivery of critical Health Plan technology initiatives.

This role serves as the bridge between business stakeholders and technical teams, owning the lifecycle of Health Plan applications, platforms, integrations, and enterprise technology capabilities. The ideal candidate combines deep healthcare domain knowledge with hands-on experience managing technical products, system integrations, APIs, data flows, and Agile delivery programs.

This is a technical product management-first role requiring the ability to drive execution across complex healthcare technology ecosystems while partnering closely with Engineering, Architecture, Data, QA, Infrastructure, Security, and vendor teams.

Key Responsibilities

Product Management & Strategy

• Own Health Plan technology products and capabilities throughout the full product lifecycle.
• Partner with business stakeholders to understand operational needs and translate them into scalable technology solutions.
• Develop and maintain product roadmaps, backlogs, release plans, and feature prioritization.
• Define business and technical requirements, user stories, acceptance criteria, and delivery objectives.
• Establish and monitor operational, adoption, quality, and technology KPIs.

Technical Leadership

• Develop a deep understanding of system architecture, APIs, integrations, data flows, and application dependencies.
• Collaborate with Engineering and Architecture teams to design scalable and sustainable solutions.
• Evaluate platform capabilities and emerging technologies that enhance business outcomes.
• Ensure alignment with enterprise architecture, cybersecurity, compliance, and data governance standards.

Program & Delivery Management

• Lead planning and execution of complex Health Plan technology initiatives.
• Coordinate delivery across Engineering, Architecture, Integration, Data, QA, Infrastructure, Security, and external vendor teams.
• Identify and manage risks, dependencies, technical issues, and release decisions.
• Oversee testing strategies, UAT, release readiness, implementation, go-live, and post-production support.
• Facilitate Agile ceremonies and promote best practices in Product Management and Agile delivery.

Required Qualifications

• Bachelor's degree in Computer Science, Information Systems, Engineering, or related field.
• 5+ years of experience in:
• Technical Product Management
• Technical Program Management
• Application Delivery
• Business Systems Management
• Product Ownership
• 3+ years working within Healthcare Payer organizations.
• Strong understanding of:
• Health Plan Operations
• Claims Processing
• Enrollment & Eligibility
• Utilization Management
• Care Management
• Provider Management
• Experience with enterprise application delivery and system integrations.
• Strong knowledge of:
• APIs
• Data Flows
• Integration Patterns
• System Architecture
• Experience creating and managing:
• Product Backlogs
• User Stories
• Acceptance Criteria
• Technical Requirements
• Release Plans
• Strong Agile/Scrum experience.
• Excellent communication, stakeholder management, and problem-solving skills.

Preferred Qualifications

• HealthEdge / HealthRules Payer experience.
• GuidingCare experience.
• Experience supporting payer modernization or digital transformation initiatives.
• Experience working with cloud-based healthcare solutions.
• Prior implementation or enhancement experience involving HealthRules Payer and/or GuidingCare.

Preferred Certifications

• CSPO (Certified Scrum Product Owner)
• SAFe Product Manager/Product Owner
• PMI-ACP
• PMP
• Scrum Master Certification

Ideal Candidate Profile

The ideal candidate is a Technical Product Manager first, with the ability to challenge engineering teams, understand architecture implications, navigate complex integrations, and drive delivery across the Health Plan technology ecosystem.

Successful candidates will have experience bridging business and technology teams while leading large-scale Healthcare Payer platform initiatives involving:

• HealthEdge HealthRules Payer
• GuidingCare
• Enterprise Integrations
• APIs
• Data Platforms
• Digital Transformation Programs