Technical Product Manager - STARS (Remote)

Posted 3 Days Ago
Hiring Remotely in Orange, CA, USA
In-Office or Remote
113K-170K Annually
Senior level
Healthtech • Database
The Role
Drive strategy, development, and lifecycle of technical healthcare payer products (STARS/HEDIS focus). Define requirements, lead cross-functional Agile teams, ensure regulatory compliance (CMS/HIPAA), manage vendors, analyze data/metrics, and coordinate launches to deliver business and customer value.
Summary Generated by Built In

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.

The Technical Product Manager (remote) will drive the strategy, development, and execution of technical products from ideation through launch and beyond. This role requires a unique blend of technical expertise and product management skills to oversee complex technical products and collaborate effectively with engineering teams. In a healthcare payer context, the TPM ensures solutions meet CMS, HIPAA, and other regulatory requirements while delivering business value.

Job Duties/Responsibilities:

  • Product Strategy and Management
    • Develop and execute comprehensive product strategies for technical products and services.
    • Oversee the entire product lifecycle from ideation to development, launch, and ongoing optimization.
    • Define product requirements, specifications, and roadmaps in collaboration with engineering teams.
    • Ensure products meet market needs, are developed within budget and on schedule.
  • Technical Leadership
    • Bridge the gap between technical teams and business stakeholders through clear communication.
    • Translate complex technical concepts into business value propositions.
    • Work closely with engineering teams using Agile methodologies and development processes.
    • Evaluate technical feasibility and make data-driven product decisions.
  • Cross-Functional Collaboration
    • Collaborate with engineering, design, operations, compliance, and vendor teams.
    • Lead product planning sessions and sprint reviews.
    • Facilitate communication between technical and non-technical stakeholders.
    • Coordinate product launches and go-to-market strategies.
  • Market & Customer Focus
    • Conduct market research and competitive analysis to inform product decisions.
    • Gather and analyze customer feedback to drive product improvements.
    • Define and track key performance indicators (KPIs) for product success.
    • Ensure products solve real customer problems and deliver business value.

Job Requirements:

Experience:

  • Required: 5+ years of product management or business analyst experience in a highly regulated industry.
  • Preferred: Specific healthcare payer experience.
  • Preferred: Experience supporting Medicare STARS, HEDIS, and healthcare quality programs within a health plan or healthcare payer organization

Education:

• Required: Bachelor’s degree in Information Systems, Computer Science, Business, Healthcare Administration, or related field.

• Preferred: MBA or advanced degree.

Specialized Skills:

• Required:

  • Proficiency in SQL for querying and data validation.
  • Experience with ETL tools such as Microsoft SSIS and Azure Data Factory.
  • Familiarity with cloud platforms (Azure/AWS).
  • Understanding of APIs, databases, and modern development stacks.
  • Knowledge of EDI standards and file protocols (HIPAA 837/835/820).
  • Experience with product management tools (Jira, Confluence).
  • Vendor management and SLA performance oversight.
  • Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others.
  • Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors;
  • Mathematical Skills:  Ability to perform mathematical calculations and calculate simple statistics correctly
  • Reasoning Skills:  Ability to prioritize multiple tasks; advanced problem-solving; ability to use advanced reasoning to define problems, collect data, establish facts, draw valid conclusions, and design, implement and manage appropriate resolution.
  • Problem-Solving Skills:  Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment.
  • Report Analysis Skills:  Comprehend and analyze statistical reports.

This is a fully remote position; however, candidates must be available to work Pacific Time meetings regularly to support business operations, and stakeholder meetingsregularly

,

Pay Range: $113,332.00 - $169,999.00

Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.

*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email [email protected].

Skills Required

  • 5+ years product management or business analyst experience in a highly regulated industry
  • Specific healthcare payer experience
  • Experience supporting Medicare STARS, HEDIS, and healthcare quality programs
  • Bachelor's degree in Information Systems, Computer Science, Business, Healthcare Administration, or related field
  • MBA or advanced degree
  • Proficiency in SQL for querying and data validation
  • Experience with ETL tools such as Microsoft SSIS and Azure Data Factory
  • Familiarity with cloud platforms (Azure, AWS)
  • Understanding of APIs, databases, and modern development stacks
  • Knowledge of EDI standards and file protocols (HIPAA 837/835/820)
  • Experience with product management tools (Jira, Confluence)
  • Vendor management and SLA performance oversight
  • Effective written and oral communication skills and ability to collaborate across stakeholders
  • Mathematical skills and ability to perform statistical calculations
  • Advanced problem-solving, reasoning, prioritization, and time management skills
  • Ability to comprehend and analyze statistical reports

Alignment Healthcare Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Alignment Healthcare and has not been reviewed or approved by Alignment Healthcare.

  • Healthcare Strength Core coverage includes multiple medical plan types with major carriers along with dental and vision. Options are described as comprehensive on paper and can include plan choice depending on role and location.
  • Retirement Support A 401(k) plan with company match is commonly offered, and some roles also receive equity via RSUs. This foundation strengthens total rewards even when base pay varies by job family.
  • Leave & Time Off Breadth PTO is offered with paid holidays, and some teams provide paid parental leave; clinical roles may include CME time and tuition reimbursement. These elements expand beyond basic medical benefits to support time away and professional development.

Alignment Healthcare Insights

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The Company
HQ: Orange, CA
749 Employees
Year Founded: 2013

What We Do

Alignment Healthcare is redefining the business of health care by shifting the focus from payments to people. We’ve created a new model for health care delivery that cuts costs and improves lives by unraveling the inefficiencies of the current system to drive patients, providers and payers toward a common goal of wellness. Harnessing best practices from Medicare Advantage, our innovative data-management technology allows us to commit to caring for seniors and those who need it most: the chronically ill and frail. Alignment Healthcare provides partners and patients with customized care and service where they need it and when they need it, including clinical coordination, risk management and technology facilitation. Alignment Healthcare offers health plan options through Alignment Health Plan, and also partners with select health plans to help deliver better benefits at lower costs. For more information, please visit www.alignmenthealthcare.com.

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