[Remote] Sr. Product Manager | Pharmacy Payment Integrity
Note: The job is a remote job and is open to candidates in USA. Machinify is a leading healthcare intelligence company focused on delivering value and efficiency to health plan clients. They are seeking a Product Manager to lead the transformation of pharmacy payment integrity through AI-first automation, overseeing the product roadmap and various automation workflows.
Responsibilities
- Design and ship AI agents that automate COB investigations, primacy determination, validation, claims tagging, and recovery handoff across Medicare, Medicaid, and commercial flows
- Replace legacy IVR/phone-based verification with AI-powered conversational workflows; integrate third-party insurance discovery APIs and PBM portal automation
- Build end-to-end automation for bulk billing, auto-invoicing, denial recovery, and recovery submission workflows
- Redesign the customer portal with real-time dashboards, SLA transparency, recovery pipeline visibility, and self-service reporting that crystallizes customer ROI
- Define agent behavior, decision logic, human-in-the-loop handoffs, quality guardrails, and pilot-to-scale deployment plans
- Partner with operations teams to identify high-volume, low-complexity workflows for automation; translate domain expertise into automated logic
Skills
- 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
Benefits
- 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
Company Overview