Sr. Product Manager | Pharmacy Payment Integrity

Posted 9 Days Ago
Hiring Remotely in United States
Remote
Senior level
Machine Learning • Software
We develop software that helps people get the right medical care, at the right time, at the right price.
The Role
The Sr. Product Manager will oversee the transformation of pharmacy payment integrity through AI automation, design workflows, and collaborate with teams to enhance customer-facing analytics and operational processes.
Summary Generated by Built In

Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We’re constantly reimagining what’s possible in our industry, creating disruptively simple, powerfully clear ways to maximize financial outcomes and drive down healthcare costs.

Product Manager, Pharmacy Payment Integrity

Machinify is seeking a Product Manager to transform pharmacy payment integrity from manual workflows to AI-first automation. Own the product roadmap for AI agents, voice AI and IVR automation, intelligent data acquisition, automated payment/recovery workflows, and customer-facing analytics.
What you'll do
  • Agentic workflow automation: Design and ship AI agents that automate COB investigations, primacy determination, validation, claims tagging, and recovery handoff across Medicare, Medicaid, and commercial flows.
  • Voice AI and conversational data acquisition: Replace legacy IVR/phone-based verification with AI-powered conversational workflows; integrate third-party insurance discovery APIs and PBM portal automation.
  • Payment and recovery automation: Build end-to-end automation for bulk billing, auto-invoicing, denial recovery, and recovery submission workflows.
  • Customer-facing analytics: Redesign the customer portal with real-time dashboards, SLA transparency, recovery pipeline visibility, and self-service reporting that crystallizes customer ROI
  • AI agent capabilities: Define agent behavior, decision logic, human-in-the-loop handoffs, quality guardrails, and pilot-to-scale deployment plans.
  • Operational transformation: Partner with operations teams to identify high-volume, low-complexity workflows for automation; translate domain expertise into automated logic.
Requirements
  • Computer Science degree (BS/MS required)
  • 5+ years of combined prior experience as both Product Manager AND Software Engineer (hands-on coding background required)
  • Technical understanding of agentic AI architectures, voice interfaces, API integrations, data pipelines, and BI platforms
  • Track record transforming manual processes into automation-first products with measurable ROI
  • Experience building customer-facing analytics for external clients
  • Strong collaboration with operations and domain experts
  • Management consulting experience and healthcare domain knowledge are a strong plus

What We Offer 

  • Work from anywhere in the US! Machinify is digital-first.
  • Top Medical/Dental/Vision offerings
  • FSA/HSA
  • Tuition reimbursement
  • Competitive salary, 401(k) with company match
  • Unlimited PTO
  • Additional health and wellness benefits and perks
  • Flexible and trusting environment where you’ll feel empowered to do your best work 

The salary for this position is based on an array of factors unique to each candidate: Such as years and depth of experience, set skills, certifications, etc. We are hiring for different levels, and our Recruiting team will let you know if you qualify for a different role/range. Salary is one component of the total compensation package, which includes meaningful equity, excellent healthcare, flexible time off, and other benefits and perks.


Equal Employment Opportunity at Machinify
 
We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace. Machinify is an employment at will employer. We participate in E-Verify as required by applicable law. In accordance with applicable state laws, we do not inquire about salary history during the recruitment process. If you require a reasonable accommodation to complete any part of the application or recruitment process, please let our recruiters know. See our Candidate Privacy Notice at: https://www.machinify.com/candidate-privacy-notice/

Skills Required

  • Computer Science degree (BS/MS required)
  • 5+ years of combined prior experience as both Product Manager AND Software Engineer
  • Technical understanding of agentic AI architectures, voice interfaces, API integrations, data pipelines, and BI platforms
  • Track record transforming manual processes into automation-first products with measurable ROI
  • Experience building customer-facing analytics for external clients
  • Strong collaboration with operations and domain experts
  • Management consulting experience and healthcare domain knowledge

Machinify Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Machinify and has not been reviewed or approved by Machinify.

  • Healthcare Strength Health coverage is described as employer-paid for employees with additional support for dependents, alongside dental, vision, mental health, and FSA/HSA options. Listings consistently depict comprehensive medical benefits.
  • Leave & Time Off Breadth Policies include unlimited PTO, paid holidays and sick time, and a weekly no‑meetings day. These elements indicate broad time‑off access alongside flexible scheduling.
  • Parental & Family Support Inclusive paid parental leave is stated at 14 weeks for birth and non‑birth parents. Family benefits are prominently featured across public materials.

Machinify Insights

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The Company
HQ: Palo Alto, CA
96 Employees
Year Founded: 2016

What We Do

Machinify is an AI start-up in the Healthcare space. Our software platform leverages the latest advances in machine learning, large language models, data analytics, and cloud processing to solve previously intractable problems in the healthcare industry impacting millions of lives.

Why Work With Us

We are a heavily cross-functional, collaborative diverse team working together to solve big problems that matter. If you are looking for an exciting environment where you'll be challenged to do the best work of your career, consider joining us!

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