Sr. Product Manager | Pharmacy Payment Integrity

Machinify
United States
Workplace: RemoteFull timeFunction: Product ManagementEducation: mastersSkills: ["Collaboration","Communication","Problem-solving","Strategic thinking"]

Lead the AI-first product strategy for pharmacy payment integrity, owning the roadmap for AI agents, voice AI, data acquisition, automation of payment/recovery workflows, and customer analytics. Collaborate with operations and healthcare domain experts to transform manual processes into scalable, ROI-driven solutions across Medicare, Medicaid, and commercial flows.

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FursaFursa
Machinify
Machinify
6 months ago

Sr. Product Manager | Pharmacy Payment Integrity

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Source: Company careers pageValidated by: Fursa AI
Last checked: 2 hours agoStatus: Live

Job Summary

Lead the AI-first product strategy for pharmacy payment integrity, owning the roadmap for AI agents, voice AI, data acquisition, automation of payment/recovery workflows, and customer analytics. Collaborate with operations and healthcare domain experts to transform manual processes into scalable, ROI-driven solutions across Medicare, Medicaid, and commercial flows.
Location: United States
Workplace: Remote
Employment Type: Full time
Job Function: Product Management
Seniority: Sr. Manager level

Key Responsibilities

  • •Agentic workflow automation: Design and ship AI agents that automate COB investigations, primacy determination, validation, claims tagging, and recovery handoff across Medicare, Medicaid, and commercial flows.
  • •Voice AI and conversational data acquisition: Replace legacy IVR/phone-based verification with AI-powered conversational workflows; integrate third-party insurance discovery APIs and PBM portal automation.
  • •Payment and recovery automation: Build end-to-end automation for bulk billing, auto-invoicing, denial recovery, and recovery submission workflows.
  • •Customer-facing analytics: Redesign the customer portal with real-time dashboards, SLA transparency, recovery pipeline visibility, and self-service reporting that crystallizes customer ROI.
  • •AI agent capabilities: Define agent behavior, decision logic, human-in-the-loop handoffs, quality guardrails, and pilot-to-scale deployment plans.

Pay and Benefits

Perks:Health InsuranceDentalVision401kPaid Leave

Key Requirements

  • •Computer Science degree (BS/MS required)
  • •5+ years of combined prior experience as both Product Manager AND Software Engineer (hands-on coding background required)
  • •Technical understanding of agentic AI architectures, voice interfaces, API integrations, data pipelines, and BI platforms
  • •Track record transforming manual processes into automation-first products with measurable ROI
  • •Experience building customer-facing analytics for external clients
Education:Master's
Skills:CollaborationCommunicationProblem-solvingStrategic thinking
Languages:English
Tech Stack:AIVoice AIIVRAPIsData pipelinesBI

Company Brief

Machinify
Provides AI-driven predictive maintenance and asset-monitoring solutions for manufacturing and industrial operations, using IoT sensor data and machine learning to reduce downtime, optimize performance, and extend equipment life.
Industry: Industrial Automation
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