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MachinifyMachinifyUnited States

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.

Salary not listed
Remote5+ YOEProduct Management

About the role

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 ArchitecturesVoice InterfacesAPI IntegrationsData PipelinesBi PlatformsAI AgentsWorkflow AutomationCustomer-Facing Analytics

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