Product Owner

Remote • Posted 19 hours ago • Updated 19 hours ago

Contract Independent

Contract W2

No Travel Required

Remote

Depends on Experience

Fitment

Dice Job Match Score™

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Job Details

Skills

RxCLAIM
PBM
Product Owner

Summary

Role : Product Owner

Location : 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

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: 80122034
Position Id: 8887300
Posted 19 hours ago

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Product Owner

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Job Details

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