Sr Technology Product Manager, Claims

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the “12 Angry Seniors.” Their mission continues to guide everything we do.

Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults.

Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity.

At SCAN, we believe scale should strengthen—not dilute—our mission. We are building the future of care for older adults, grounded in purpose, accountability, and respect for the people and communities we serve.

The Job

Manages the development and lifecycle of technology products, including software, hardware, and services. Reporting into IT, this role will oversee multiple concurrent implementations, ensuring delivery across business functions while maintaining alignment with enterprise priorities. The Product Manager will partner closely with Product Owners, IT delivery teams, and program resources to ensure successful product delivery and adoption across the organization.

You Will

• Manages, plans and coordinates the development of new products, enhancements of existing products and technical solutions based on short-term and long-term needs.
• Lead end to end project implementation for business needs. Responsible for full depth of activities ranging from strategy and design definition to execution for specific projects to deliver meaningful business outcomes
• Understands business unit operations and identifies opportunities to leverage technology to increase efficiency or effectiveness
• Oversee multiple concurrent implementations, ensuring consistent delivery quality, governance, and alignment across workstreams
• Partner with Product Owners to refine backlogs, prioritize features, and translate business needs into actionable IT requirements.
• Work closely with Program/Project Managers to manage timelines, dependencies, and risks across parallel implementations
• Translate high-level business requirements into technical specifications and delivery plans, balancing value, feasibility, and scalability
• Coordinate IT teams (developers, architects, QA, data, integrations) to deliver secure and reliable IT solutions
• Oversee integration and data migration activities, ensuring accuracy and adherence to governance standards.
• Support testing, deployment, and release management, partnering with QA and change management teams to ensure smooth go-lives.
• Track and report on program-level progress, KPIs, and adoption metrics, providing transparency to IT and business leadership
• Responsible for effective Change Management for IT led projects and changes. Review test plans, communications, training plans, delivery schedules, and project plans
• Maintain positive relationships with business, IT and vendors by proactively setting expectations, coordinating information exchange and reporting project progress and risks. Keep management informed of key issues.
• Measure and communicate business value realized with the business stakeholder on a periodic basis
• Apply significant knowledge of industry trends and developments to improve service to our customers
• Leads teams in identifying and implementing process improvement initiatives which result in operational efficiencies and cost savings.
• Responsible for applying operational system knowledge, skills, tools and techniques to deliverables, processes, and systems in order to meet or exceed stakeholder needs and expectations.

• We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.

• Actively support the achievement of SCAN’s Vision and Goals.

• Other duties as assigned.

Your Qualifications

• Bachelor's Degree or equivalent experience required

• 5+ years of experience in Product Management or Program Management or experience in leading teams within enterprise IT specific to Claims, Encounters, Provider pricing, Network configuration, Payment integrity, with hands on configuration experience.
• 5+ years claims operations and/or systems experience with Medicare and Medicaid, including Medicare Pricing Rules and Fee Schedules, DRG, OPPS, bundling, Claims configuration and third party applications.
• 5+ year of experience managing backlog or roadmap with multiple projects and activities in progress.
• 5+ years of experience in translating pain points or business objectives into technical solutions that span multiple departments and processes in a mid or large enterprise IT environment(s) required
• 5+ Years of experience in Health Plan operations is must and preferably in Government programs.
• 3-4 years of leadership experience
• Knowledge of HIPAA EDI transaction sets and regulatory and compliance requirements.
• Proven ability to manage multiple parallel technology implementations across diverse business functions
• Strong collaboration skills with both business stakeholders (Product Owners, functional leaders) and technical teams
• Familiarity with agile delivery practices, backlog management, and cross-team coordination
• Excellent communication, prioritization, and problem-solving skills
• Demonstrated experience in taking ownership and responsibility for decisions and outcomes.
• Complete understanding of Health Plan Core operations, like Claims, Eligibility, Encounters, Provider Data operations and GAD is required
• Thorough understanding of project management techniques and methods
• Demonstrated ability to work with all levels of staff including senior leadership, within and external to the organization to achieve goals

What's in it for you?

• Base Pay Range: $125,400 $181,419 annually

• An annual employee bonus program

• Robust Wellness Program

• Generous paid-time-off (PTO)

• 11 paid holidays per year, 1 floating holiday, birthday off, and 2 volunteer days

• Excellent 401(k) Retirement Saving Plan with employer match

• Robust employee recognition program

• Tuition reimbursement

• An opportunity to become part of a team that makes a difference to our members and our community every day!

We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!

At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.

SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.

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Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)