RxCLAIM Product Owner with PBM-Remote

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