BA/Technical Product Manager

Partner Discovery & Requirements Analysis

• Lead and document working sessions with clinical, finance, operations, product, and technical stakeholders to understand existing workflows, business rules, data requirements, and operational processes.

• Translate manual and system-supported workflows into structured business and functional requirements.

• Produce gap-analysis documentation mapping current-state processes and partner requirements to existing platform capabilities.

• Classify requirements based on appropriate disposition, such as existing functionality, configuration, new development, acceptable operational workaround, shared platform enhancement, or out of scope.

• Maintain a consistent backlog structure across implementations so requirements remain comparable, traceable, and reusable.

System Reconciliation & Technical Analysis

• Analyze application logic, SQL, stored procedures, configuration parameters, integrations, and data flows to understand existing system behavior.

• Determine whether business requirements can be satisfied through configuration, existing functionality, process changes, or new development.

• Validate assumptions about platform behavior against available technical evidence and distinguish confirmed system behavior from inferred behavior.

• Identify discrepancies between documented behavior, stakeholder expectations, system configuration, and implemented logic.

• Trace business rules to underlying parameters, data elements, calculations, integrations, and system components.

• Identify where behaviors are configurable versus hardcoded and assess the impact on future implementations.

Requirements Authoring

• Write clear business and functional requirements, user stories, acceptance criteria, assumptions, dependencies, open questions, and proposed workarounds.

• Maintain appropriate separation between business-facing requirements and technical implementation details.

• Ensure acceptance criteria reflect the agreed solution approach, including configuration changes, operational workarounds, or new functionality.

• Apply a consistent standard for distinguishing standalone requirements from assumptions, configuration decisions, implementation details, or operational procedures.

• Maintain traceability from business need through solution decision and development implementation.

Cross-Functional Facilitation & Governance

• Facilitate requirements, solutioning, and review sessions across business, clinical, product, engineering, data, and operational teams.

• Drive open questions toward resolution and update requirements and documentation to reflect confirmed decisions.

• Identify ambiguity, conflicting requirements, downstream impacts, and cross-feature dependencies before development begins.

• Prevent scope drift and ensure implementation-specific requirements do not unintentionally become platform-wide requirements.

• Support prioritization and decision-making by clearly communicating business impact, implementation complexity, dependencies, and risk.

Ticket Creation & Scoping

• Translate approved requirements into development-ready tickets containing problem statements, user stories, functional scope, acceptance criteria, dependencies, assumptions, and open questions.

• Partner with engineering and architecture teams to clarify technical scope and implementation approach.

• Track dependencies across features, integrations, implementations, and shared platform capabilities.

• Identify common capabilities that can support multiple clients, workflows, or future implementations rather than creating one-off solutions.

• 8+ years of experience as a Business Analyst, Technical Product Manager, Product Owner, or equivalent role in a software-, data-, or technology-driven environment.

• Experience working within healthcare technology, healthcare operations, payer/provider systems, pharmacy, claims, revenue cycle, eligibility, or related healthcare domains.

• Ability to understand and reason about SQL, data structures, system logic, APIs, configuration, and technical workflows well enough to validate platform behavior and collaborate effectively with engineering teams.

• Demonstrated ability to write clear requirements, user stories, acceptance criteria, and development tickets that engineering teams can implement with minimal rework.

• Strong analytical rigor with the ability to distinguish confirmed facts from assumptions, challenge unclear reasoning, and validate conclusions.

• Experience facilitating requirements and solution-review sessions involving business, clinical, operational, and technical stakeholders.

• Strong written and verbal communication skills, with the ability to adapt business and technical information for different audiences.

Preferred Qualifications

• Familiarity with healthcare claims, eligibility, reimbursement, clinical workflows, pharmacy operations, or healthcare financial processes.

• Experience working with configurable or rules-driven healthcare platforms.

• Experience supporting client, provider, health system, or partner implementations.

• Understanding of data pipelines, ETL processes, APIs, healthcare integrations, and data exchange concepts.

• Experience managing a shared product backlog across multiple customers, implementations, or business units.

• Familiarity with healthcare data standards, regulatory requirements, or privacy considerations such as HIPAA.

Key Competencies

• Requirements elicitation and translation

• Healthcare workflow analysis

• Technical and data analysis

• System behavior reconciliation

• Product and backlog management

• Stakeholder facilitation and decision-driving

• Cross-functional collaboration

• Analytical rigor and structured problem-solving

• Dependency and impact analysis

• Documentation discipline and traceability