Product Manager owns the strategy, roadmap, and delivery of core healthcare benefit solutions, including Coordination of Benefits (COB), Pharma Copay programs, Client Organization Model Administration (Hierarchy), and Member Portal experience. This role requires expertise in healthcare benefit, compliance, and platform concepts, as well as experience with benefit administration platforms, organizational hierarchy models, and enterprise SaaS configuration tools.
Requirements
- Develop deep expertise across Coordination of Benefits (COB), Pharma Copay programs, Client Organization Model Administration (Hierarchy), Member Portal experiences, and Benefit Administration Portal navigation.
- Understand how enterprise client hierarchies mirror real-world organizational structures and how those structures drive benefit configuration, eligibility, reporting, and operational workflows.
- Distill complex healthcare benefit, compliance, and platform concepts into clear, actionable insights for both technical and non-technical stakeholders.
- Balance regulatory requirements, operational efficiency, financial accuracy, and user experience when defining product direction.
- Think holistically about the enterprise platform experience—ensuring cohesive navigation and intuitive workflows across modules.
- Serve as the subject matter expert for COB, Pharma Copay programs, Client Organization Model Administration (Hierarchy), Member Portal capabilities, and Benefit Administration Portal navigation within RxIQ.
- Lead strategy and execution for system enhancements, new client implementations, RFP support, and configuration models across these domains.
- Ensure client organizational structures are scalable, flexible, and accurately represented within the platform to support complex enterprise needs.
- Drive evolution of the Member Portal to enhance self-service capabilities, transparency, and engagement for end users.
- Shape and optimize high-level enterprise navigation patterns to ensure consistent, logical, and efficient user flows across the RxIQ platform (excluding direct IAM ownership).
- Remain current with regulatory and industry requirements (COB, Medicare, Medicaid, and related benefit regulations) to ensure ongoing compliance.
- Partner with engineering, architecture, operations, and commercial teams to define quarterly roadmaps aligned to long-term platform vision.
- Collaborate across adjudication and other core enterprise product areas to maintain a comprehensive understanding of the full RxSense platform ecosystem.
- Own and manage the product backlog, prioritizing development based on measurable business impact, customer value, scalability, and risk mitigation.
- Develop detailed feature specifications with clear acceptance criteria and outcome-based success metrics.
- Leverage data, performance metrics, launch outcomes, and customer feedback to drive continuous improvement and strategic investment decisions.
- Demonstrate strong systems thinking and intellectual curiosity to understand how benefit logic, hierarchy models, and enterprise workflows function at a foundational level.
- Define and execute a forward-looking strategy across benefit platforms and enterprise experience layers that aligns with RxSense business goals and customer needs.
Benefits
- Generous Paid Time Off
- 401k Matching
- Retirement Plan
- Visa Sponsorship
- Four Day Work Week
- Generous Parental Leave
- Tuition Reimbursement
- Relocation Assistance
