Product Owner - REMOTE

Job Description –

Product Owner

Duration: 1 year

REMOTE

Skype

Need a 10+ yrs candidate with Pharmacy Benefit Management (PBM) also have proper linkdin with photo !!

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