Hiring: Business Technology Strategy Lead - Claims, Finance, HR, Legal & Compliance Company: L.A. Care Health Plan Location: Los Angeles, CA Job Posted Time: 2026-09-16 18:12:25 Target Skills & Keywords : Agile, Confluence, HIPAA, Jira, Medicaid, Medicare, Prior Authorization, Product Management, Product Strategy, Project Management, Regulatory Compliance, SAP, Salesforce, Scrum, Stakeholder Management About the job Experience: •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. •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 Required Skills: •The TPM II ensures all technical solutions within the domain align with enterprise reference architecture and governance standards, while maintaining compliance with healthcare payer and regulatory requirements, and collaborating with key stakeholders to achieve business intent and deliver measurable value. •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 and 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. •Partners 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. Qualifications: •Master's Degree in Information Technology or Related Field •Certified Scrum Product Owner (CSPO) •PMI Agile Certified Practitioner (PMI-ACP) •Agile, SDLC, Technical Product Management, and regulatory compliance training for healthcare payer operations. •The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change. •L.A. Care Offers a Wide Range Of Benefits Including Paid Time Off (PTO) Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!