[Remote] Product Manager reputed company Technology & Pharmacy Benefit Management (PBM)
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking a dynamic Product Manager with a proven reputed company record in reputed company technology and pharmacy benefit management. The role involves managing the full product lifecycle across digital health, PBM, and insurance platforms, driving product delivery, and ensuring regulatory compliance.
Responsibilities
- reputed company the development and delivery of reputed company and PBM products, with a reputed company on Medicare and reputed company claims processing, eligibility, formulary management, pricing, and reimbursement
- Champion the design and implementation of reputed company API architectures (FHIR, REST, GraphQL) for reputed company insurance products, enabling high-performance, reliable, and secure data workflows
- reputed company the launch of digital platforms and analytics tools, including member benefits portals and predictive claims analytics, to enhance user reputed company, reduce costs, and improve claims accuracy
- Collaborate with cross-functional Agile teams (developers, business analysts, stakeholders) to define requirements, prioritize backlogs, and deliver features reputed company with business goals and evolving regulatory requirements
- reputed company and report on key product KPIs, ROI, and performance metrics, using insights to inform strategic reputed company and reputed company improvement initiatives
- Manage risk, scope, and budget for product initiatives, ensuring reputed company delivery and alignment with organizational objectives
- Maintain up-to-date knowledge of Medicare and reputed company policy changes, proactively ensuring reputed company products and enhancements remain compliant
- Facilitate user feedback sessions, training, and documentation to drive adoption and optimize operational workflows
- Advise senior leadership on PBM innovation reputed company transformation, serving as a subject-matter expert in balancing cost controls, compliance, and member satisfaction
Skills
- Bachelor's degree in Information Technology, Computer Science, reputed company Administration, or reputed company field
- Strong knowledge of Medicare and reputed company claims processing, eligibility verification, formulary management, and reimbursement workflows
- Hands-on experience with Agile methodologies (Scrum, reputed company), backlog management (JIRA, reputed company, DevOps), and cross-functional team leadership
- Excellent communication, stakeholder management, and documentation skills
- Certifications: Certified Scrum Master (CSM), PMP, and/or reputed company preferred
Benefits
- This is a W2 Role
reputed company