Overview
Remote
$50 - $65
Contract - W2
Contract - 1 Year(s)
No Travel Required
Skills
Product Management
Technical Product Management
Product Roadmaps
Product Strategy
User Stories
Agile Methodologies
Project Management
Market Analysis
Product Ownership
Sprint Planning
Software-as-a-Service
Healthcare Technology
Enterprise Software
CSPO
SAFe
UI Design
User-Interface
UX
UI/UX
User Experience
Pharmacy Benefits Management
PBM
Healthcare
Healthcare SaaS
Health Insurance
Change Management
Job Details
Job Title: Product Manager – Healthcare Technology and Pharmacy Benefits Management (PBM) Location: Remote - United States
Position Type: Contract (12+ months) on W2
Compensation: $50-$65/hour dependent on experience
Overview:
We are seeking a strategic Product Manager with a proven track record in healthcare technology, pharmacy benefits management (PBM), and Medicare/Medicaid systems. The ideal candidate will have extensive experience driving end-to-end product delivery, leading cross-functional teams, and implementing innovative solutions that optimize workflows, improve user experience, and ensure regulatory compliance. The role is responsible for managing the full product lifecycle - from ideation through launch and ongoing optimization - across digital health, PBM, and insurance platforms.
Key Responsibilities:
Required Skills and Qualifications:
Preferred Experience:
Additional Details:
To apply, submit your resume and a cover letter detailing your experience in PBM analytics, reporting, and cross-functional product leadership together with expected compensation.
Position Type: Contract (12+ months) on W2
Compensation: $50-$65/hour dependent on experience
Overview:
We are seeking a strategic Product Manager with a proven track record in healthcare technology, pharmacy benefits management (PBM), and Medicare/Medicaid systems. The ideal candidate will have extensive experience driving end-to-end product delivery, leading cross-functional teams, and implementing innovative solutions that optimize workflows, improve user experience, and ensure regulatory compliance. The role is responsible for managing the full product lifecycle - from ideation through launch and ongoing optimization - across digital health, PBM, and insurance platforms.
Key Responsibilities:
- Lead the development and delivery of healthcare and PBM products, with a focus on Medicare and Medicaid claims processing, eligibility, formulary management, pricing, and reimbursement..
- Drive the integration of Electronic Medical Records (EMR) and PBM systems, ensuring seamless data exchange, billing accuracy, and compliance with Medicare CMS and HIPAA standards.
- Oversee the launch of digital platforms and analytics tools, including member benefits portals and predictive claims analytics, to enhance user access, reduce costs, and improve claims accuracy..
- Collaborate with cross-functional Agile teams (developers, business analysts, stakeholders) to define requirements, prioritize backlogs, and deliver features aligned with business goals and evolving regulatory requirements..
- Track and report on key product KPIs, ROI, and performance metrics, using insights to inform strategic decisions and continuous improvement initiatives.
- Manage risk, scope, and budget for product initiatives, ensuring timely delivery and alignment with organizational objectives.
- Maintain up-to-date knowledge of Medicare and Medicaid policy changes, proactively ensuring all products and enhancements remain compliant.
- Facilitate user feedback sessions, training, and documentation to drive adoption and optimize operational workflows..
- Understand and interpret analytical models, translating them into specifications for reporting applications that meet client and regulatory requirements.
- Advise senior leadership on PBM innovation and digital transformation, serving as a subject-matter expert in balancing cost controls, compliance, and member satisfaction..
- Align accomplishments to PBM Client Reporting OKRs and provide regular updates on progress.
- Champion change management initiatives in data, business intelligence reporting, or enterprise software environments.
- Lead cross-functional Agile teams, leveraging Scrum and SAFe methodologies to deliver high-impact solutions on time and within scope.
Required Skills and Qualifications:
- Bachelor's degree in Information technology, Computer Science, Healthcare Administration, or related field.
- 5+ years of experience in product management, project management, or technical leadership roles within healthcare, PBM, or Insurance industries.
- Demonstrated success in launching and optimizing healthcare technology products, including EMR, EHR, PBM, or Insurance Platforms.
- Strong knowledge of Medicare and Medicaid claims processing, eligibility verification, formulary management, and reimbursement workflows.
- Management experience, with a track record of leading Agile teams and delivering innovative digital health or PBM solutions.
- Strong business partnership and consultative skills, with a user-centric mindset and adaptability in fast-paced environments.
- Proficiency with MicroStrategy and other analytics/reporting tools.
- Technical acumen in API development, cloud platforms (Azure, AWS), and data analytics tools (Power BI, Snowflake).
- Certifications: Certified Scrum Master (CSM), PMP, and/or SAFe preferred.
Preferred Experience:
- CSPO or similar certification is a plus.
- Demonstrated change management experience in data, BI reporting, or enterprise software; CCMP or equivalent certification is a plus.
- Deep knowledge of Medicare and Medicaid claims processing, eligibility verification, formulary management, and reimbursement workflows.
- Experience with Epic EMR integration, pharmacy billing systems, and healthcare data migration.
- Familiarity with HL7 interfaces, digital/mobile application development, and user experience design.
Additional Details:
- Must be eligible to work in the United States without sponsorship.
To apply, submit your resume and a cover letter detailing your experience in PBM analytics, reporting, and cross-functional product leadership together with expected compensation.
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