Technical Product Owner III - Claims
About The Position
The Technical Product Owner (TPO) is the tactical owner of a team’s backlog and capacity. While the Technical Product Manager (TPM) sets strategic direction at the capability level, the TPO ensures the team delivers the highest-value work in alignment with capability priorities. Acting as the single-threaded owner of the team backlog, the TPO bridges business, technology, and delivery execution, consolidating responsibilities traditionally split between a Product Owner and Scrum Master. TPO roles within Claims Administration must demonstrate a strong understanding of the end-to-end claims lifecycle in the healthcare payer industry. The role requires in-depth knowledge of healthcare claims EDI transactions, along with the ability to collaborate effectively with technical solution architects to design and deliver comprehensive, end-to-end solutions. The TPO champions Medica Delivery Framework (MDF) principles by fostering transparency, enabling disciplined delivery, and ensuring predictable flow of work. They shield the team from external disruptions, maintain clarity on priorities, and ensure commitments align with proven capacity.
Requirements
- Bachelor's degree or equivalent experience in related field
- 5+ years of related work experience beyond degree
- Strong understanding of the end-to-end claims lifecycle in the healthcare payer industry
- In-depth knowledge of healthcare claims EDI transactions
Responsibilities
- Translate prioritized capability epics (from TPM ) into clear backlog items (features, user stories, technical enablers)
- Define acceptance criteria in partnership with the Technical Lead (TL) and ensure backlog items are “ready” for development
- Maintain a healthy backlog based on value, risk, and dependencies
- Reject or escalate any “backdoor” requests that bypass MDF intake
- Work with the Delivery Leader to ensure backlog aligns to actual team capacity
- Respect and enforce WIP limits so the team is never overcommitted
- Represent the team during prioritization sessions
- Ensure RTB (Run-the-Business) items, enhancements, and strategic initiatives are prioritized together within the backlog
- Lead backlog refinement, sprint planning, and iteration reviews
- Ensure team goals tie back to capability and enterprise priorities
- Lead scrum ceremonies, including facilitating ceremonies and promoting agile practices
- Partner with the Technical Lead (TL) on delivery—the TPO owns the “what/why,” at the feature level while the TL owns the “how"
- Make trade-off decisions daily if necessary to keep delivery aligned with priorities
- Coordinate dependencies with other teams and escalate blockers or capacity issues to Delivery Leaders
- A point of contact for business stakeholders
- Provide transparency into progress, risks, and delivery metrics
- Ensure feedback loops with Delivery Leaders, TPM and business users are fast and continuous in order to validate outcomes early
- Capture learnings from retrospectives and incorporate them into future sprints
- Track delivery metrics: say/do ratio, cycle time, throughput
- Validate delivered stories/features against acceptance criteria and business outcomes
- Report progress and risks to TPM, Delivery Leader, and stakeholders
Benefits
- competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services
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What This Job Offers
Job Type
Full-time
Career Level
Senior
