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Product Manager IV

RemoteNot specified
Published
Role
Product
Experience
Senior
Employment
Full-time
Company size
Enterprise
Salary not disclosed
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The listing doesn't say where it hires from. Check the description or the employer's site before applying.

No BS summary

Senior Product Manager with 4+ years of experience in Pharmacy Benefit Management (PBM) and claims processing. Requires strong financial acumen, analytical skills, and experience with Agile methodologies. Must have a Master's degree or Bachelor's degree with 6+ years of experience.

Core skills

Pharmacy Benefit Management (PBM)Claims processingProduct Strategy

Required skills

Pharmacy point-of-sale (POS)Drug managementFormulary managementUtilization managementCost containment strategiesAuthorizationsAdjudication processesClaims dataRegulatory data filesPDEsEncounter dataPaid claims filesFinancial analysisBusiness case evaluationProduct ROICost/benefit tradeoffsRoot cause analysisRequirements elicitationStakeholder validationAgileJira

Optional skills

Master's degreeExperience with Jira or comparable Agile toolsAbility to write clear acceptance criteria and test casesExperience in Agile delivery environments

Required languages

English native

What you'll do

  • Develops, owns, and executes end-to-end product strategy, positioning, and go-to-market plans aligned with company objectives
  • Maintains a strong understanding of customer needs, competitive landscape, and market forces, including the company's position relative to competitors
  • Analyzes market opportunities, anticipates industry trends, and evaluates feasibility and financial justification for new products and enhancements to existing products
  • Defines, documents, and prioritizes requirements for current and future products considering business capabilities, technology constraints, quality, cost, customer interactions, and marketplace demands
  • Oversees the product lifecycle from concept through delivery, ongoing optimization, and retirement
  • Partners closely with cross-functional teams—including technical architecture, engineering, development, analytics, operations, and commercial teams—to ensure solutions meet financial, timing, and customer expectations
  • Defines target customer segments and supports sales teams through product expertise, lead generation support, and solution positioning
  • Leads medium to large initiatives or complex, high-visibility product efforts requiring broad business perspective, conceptual thinking, and in-depth analytical problem solving
  • Performs root cause analysis on product, claims, or operational issues and drives resolution through data-driven recommendations
  • Designs and documents business and operational workflows that support scalable and compliant product delivery
  • Develops and maintains product policies, procedures, and best practices; recommends continuous process improvements
  • Mentors and provides guidance to junior product managers, analysts, and cross-functional partners
  • May lead a process, program, or functional capability without direct people management responsibility

What they require

  • Master's degree and 4+ years of related experience, or Bachelor's degree and 6+ years of related experience, or High school diploma and 8+ years of related experience
  • Strong experience in Pharmacy Benefit Management (PBM) environments
  • Working knowledge of pharmacy point-of-sale (POS) and claims processing
  • Understanding of drug management concepts, including formulary management, utilization management, and cost containment strategies
  • Experience with authorizations and adjudication processes
  • Hands-on exposure to claims and regulatory data files, including PDEs, encounter data, and paid claims files
  • Ability to analyze claims data to identify trends, issues, and financial impacts
  • Strong financial acumen, including ability to evaluate business cases, product ROI, and cost/benefit tradeoffs
  • Advanced analytical and problem-solving skills, including structured root cause analysis
  • Proven experience in requirements elicitation, documentation, and stakeholder validation
  • Ability to write clear acceptance criteria and test cases
  • Experience participating in or leading claim testing and validation efforts
  • Skilled in designing and documenting end-to-end business and operational workflows
  • Experience working in Agile delivery environments
  • Hands-on experience using Jira (or comparable Agile tools) for backlog management, tracking, and delivery coordination
  • Strong communicator with the ability to translate complex concepts across technical and non-technical audiences
  • Highly flexible and adaptable, able to operate effectively in a dynamic, fast-paced environment
  • Comfortable influencing without authority and working across multiple stakeholder groups

Benefits

  • medical, dental, and vision coverage
  • 401(k) plan with company match
  • paid time off, holidays, and parental leave
  • professional development reimbursement opportunity

an American multinational financial technology company

🇺🇸 United StatesFintechEnterprisessctech.com/
Salary not disclosed