Medica Health Plans

Technical Product Owner III - Claims

Medica Health Plans$88K — $133K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree or equivalent experience in a related field
  • 5+ years of relevant work experience
  • Strong understanding of the end-to-end claims lifecycle in the healthcare payer industry
  • In-depth knowledge of healthcare claims EDI transactions
  • Effective collaboration skills with technical solution architects

Responsibilities

  • Manage the team's backlog and translate capability epics into actionable backlog items
  • Define and validate acceptance criteria for development
  • Ensure team backlog aligns with actual capacity and enforce work-in-progress limits
  • Represent the team in prioritization sessions to balance various backlog items
  • Lead scrum ceremonies, including sprint planning and backlog refinement
  • Partner with Technical Lead on delivery alignment and trade-off decisions
  • Maintain transparency with stakeholders regarding progress, risks, and metrics

Benefits

  • Generous medical, dental, and vision insurance
  • Paid time off and holidays
  • Paid volunteer time off
  • 401K contributions
  • Support services for caregivers
Full Job Description
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

Key Accountabilities

  • Backlog Ownership & Grooming
    • 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

  • Capacity & WIP Alignment
    • Work with the Delivery Leader to ensure backlog aligns to actual team capacity
    • Respect and enforce WIP limits so the team is never overcommitted

  • Prioritization Integration
    • Represent the team during prioritization sessions
    • Ensure RTB (Run-the-Business) items, enhancements, and strategic initiatives are prioritized together within the backlog

  • Sprint & Iteration Leadership
    • 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

  • Execution Alignment
    • 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

  • Stakeholder Engagement

    • 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

  • Continuous Improvement & Metrics

    • 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

  • Accountabilities
    • A single, transparent backlog for the team that reflects enterprise priorities
    • Backlog items are outcome-oriented, clear, and feasible before sprint planning
    • Sprint commitments align with proven capacity and are delivered predictably
    • Completed work delivers measurable business outcomes-not just features
    • Transparent communication with stakeholders-no surprises

  • Role Partnerships in MDF
    • With TPM: Translate capability-level priorities into backlog items; align roadmap to team execution
    • With TL: Co-lead the team-TPO owns "what/why," TL owns "how"
    • With Delivery Leader: Balance team capacity, enforce WIP, and escalate systemic issues
    • With Business Owner: Validate backlog items against business outcomes and secure timely feedback


Required Qualifications

  • Bachelor's degree or equivalent experience in related field
  • 5+ years of related work experience beyond degree


This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations: Minnetonka MN, Madison WI, Omaha NE, and St. Louis MO.

The full salary grade for this position is $88,800 - $152,300. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $88,800 - $133,245. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.

The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.

About Medica Health Plans

Medica Health Plans is a non-profit health insurance company based in Minnesota. It was founded in 1975 and provides health insurance to individuals, families, and employers in Minnesota, North Dakota, South Dakota, and Wisconsin. Medica offers a variety of health plans, including HMO, POS, PPO, and Medicare Advantage plans. The company also offers dental, vision, and pharmacy benefits. Medica has received high ratings for customer satisfaction and quality of care. The company is committed to improving the health of its members and the communities it serves.
Learn more about Medica Health Plans
Size
1,700 employees
Industry
Founded
1975

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