Senior Technical Product Manager with HealthEdge / HealthRules Payer /Health Plan Technology & Delivery

Senior Technical Product Manager, Health Plan Technology & Delivery

Engagement Type: Senior Consultant / Contractor

Location: Midtown Manhattan, NYC (3 days work from office-Need Locals)

Overview

The Senior Technical Product Manager, Health Plan Technology & Delivery leads the technical product and delivery lifecycle for Health Plan applications, platforms, integrations, and technology capabilities.

This role combines Technical Product Management and TPM capabilities, partnering closely with Health Plan business stakeholders, Business Analysts, Application Owners, Engineering, Architecture, QA, Scrum Masters, and technology vendors.

The ideal candidate brings strong healthcare payer experience together with a working understanding of enterprise architecture, APIs, integrations, data flows, Agile delivery, HealthEdge/HealthRules Payer, GuidingCare, and other Health Plan platforms.

This is a TPM-first role with strong Health Plan domain knowledge.

What You Will Do

• Manage Health Plan technology products and capabilities throughout their lifecycle.
• Develop a strong understanding of Health Plan business processes and translate needs into scalable technology solutions.
• Partner with Business Analysts and business stakeholders to define features, user stories, acceptance criteria, and technical requirements.
• Develop and maintain product backlogs and technology roadmaps.
• Coordinate delivery across application teams, Engineering, Architecture, Data, Integration, QA, Infrastructure, Security, vendors, and other technical teams.
• Understand system architecture, APIs, integrations, data flows, upstream/downstream dependencies, and technology constraints.
• Drive technical planning and execution across complex Health Plan initiatives.
• Identify and manage technical risks, issues, dependencies, and delivery decisions.
• Coordinate release planning, technical readiness, testing, UAT, implementation, go-live, and post-production stabilization.
• Partner with QA to establish testing strategies and ensure appropriate quality controls.
• Facilitate Agile ceremonies and promote disciplined Agile/Product delivery practices where appropriate.
• Lead evaluation and pilots of emerging technologies and platform capabilities.
• Manage technology enhancements that extend product value and improve user and operational outcomes.
• Establish and monitor product, operational, adoption, quality, and technology KPIs.
• Ensure solutions comply with enterprise architecture, cybersecurity, data, compliance, and IT standards.
• Provide concise technical and delivery updates to IT and business leadership.

Qualifications

• Bachelor's degree in Computer Science, Information Systems or related discipline, or equivalent experience.
• 5+ years of technical product management, technology program management, application delivery, business systems, or similar experience.
• 3+ years of healthcare/payer technology experience.
• Strong understanding of healthcare payer operations and technology.
• Experience with HealthEdge/HealthRules Payer, GuidingCare, or comparable payer platforms strongly preferred.
• Experience working with enterprise applications, integrations, APIs, data flows, and system architecture.
• Experience translating complex business processes into technical requirements and solutions.
• Experience managing product backlogs, features, user stories, acceptance criteria, technical dependencies, and releases.
• Strong Agile/Scrum delivery knowledge.
• Experience working with engineering, architecture, integration, data, QA, security, infrastructure, and vendor teams.
• Strong technical problem-solving, communication, and stakeholder-management skills.

Preferred

• Certified Scrum Product Owner (CSPO) or comparable Product certification.
• PMP, PMI-ACP, SAFe, Scrum, or comparable program/delivery certification.
• HealthEdge/HealthRules Payer and/or GuidingCare implementation or enhancement experience.

Ideal Profile

TPM first, Health Plan domain expertise throughout. This person should understand enough technology to challenge delivery teams, manage complex dependencies, recognize integration and architecture implications, and drive delivery across the Health Plan technology ecosystem.