Product owner (Rxclaim/PBM)

Remote • Posted 26 days ago • Updated 26 days ago

Contract W2

Contract Independent

No Travel Required

Remote

Depends on Experience

Fitment

Dice Job Match Score™

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Job Details

Skills

Benefits Management
Pharmacy
Produt owner
Rxclaim

Summary

Position: - Product owner (Rxclaim/PBM)

Location: - Remote

Type: - Contract

Note - Need only on 1099 or W2. C2C will work but only for Self-incorporated consultant.

Job Description

We are seeking a highly experienced RxCLAIM Product Owner to lead the product vision, roadmap, and delivery for enterprise PBM solutions. The ideal candidate will have deep hands-on expertise in RxCLAIM, strong exposure to other PBM platforms, and a proven ability to work with business, clinical, and technology stakeholders to deliver scalable, compliant, and high-performing pharmacy solutions.

This role requires strong domain knowledge, strategic thinking, and the ability to translate complex PBM requirements into actionable product backlogs while driving continuous value delivery.

Qualifications

10+ years of experience in RxCLAIM or any other Pharmacy Benefit Management (PBM) systems Product Ownership
Own and drive the product vision, roadmap, and backlog for RxCLAIM-based solutions
Align product strategy with PBM business goals, regulatory requirements, and client needs
Define and prioritize features, enhancements, and technical initiatives based on business value RxCLAIM & PBM Domain Accountability
Act as subject matter expert (SME) for RxCLAIM modules including:- Claims adjudication
Plan setup & benefit configuration - Pricing, accumulators, and edits
Prior authorization & DUR - Eligibility, formularies, and networks
Leverage experience with other PBM systems (e.g., MedImpact, Argus, custom PBM platforms) to drive best practices and comparative insights
Support integrations with downstream and upstream systems (eligibility, providers, pharmacies, rebate systems, data warehouses) Agile Delivery & Stakeholder Management
Serve as Product Owner in Agile/Scrum teams, owning user stories, acceptance criteria, and backlog grooming - Work closely with architects, developers, QA, and DevOps teams to ensure high-quality delivery
Collaborate with business stakeholders, clients, operations, and compliance teams - Participate in PI planning, sprint planning, demos, and retrospectives Compliance & Quality
Ensure solutions comply with CMS, HIPAA, Medicaid/Medicare, and state-specific regulations
Partner with compliance and audit teams during regulatory changes and implementations
Drive data accuracy, performance, and scalability across PBM solutions Continuous Improvement
Analyze production issues, client feedback, and operational metrics to identify improvement opportunities
Support modernization initiatives such as cloud migration, automation, and API enablement
Mentor junior product owners and business analysts in PBM and RxCLAIM best practices

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: 90769319
Position Id: 8878599
Posted 26 days ago

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