Sr. Product Manager, Pharmacy Payment Integrity
As a Senior Product Manager, you will drive the transformation of pharmacy payment integrity through AI-first automation. You will own the product roadmap for AI agents, voice AI, IVR automation, intelligent data acquisition, and automated payment/recovery workflows.
About the job
What you'll do
- 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.
- Operational transformation: Partner with operations teams to identify high-volume, low-complexity workflows for automation; translate domain expertise into automated logic.
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
- Strong collaboration with operations and domain experts
- Management consulting experience and healthcare domain knowledge are a strong plus
What We Offer
- Work from anywhere in the US! Machinify is digital-first.
- Top Medical/Dental/Vision offerings
- FSA/HSA
- Tuition reimbursement
- Competitive salary, 401(k) with company match
- Unlimited PTO
- Additional health and wellness benefits and perks
- Flexible and trusting environment where you’ll feel empowered to do your best work
Skills
Ai Architectures, Voice Interfaces, API Integrations, Data Pipelines, Bi Platforms, AI Agents, Workflow Automation, Customer-Facing Analytics
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