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.
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
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/
Similar Jobs
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Design, build, and optimize scalable ETL/data pipelines (SQL Server, Snowflake, Databricks) for large healthcare datasets. Support production cycles, monitor and resolve issues, perform root cause analysis, ensure data quality, conduct code reviews, estimate work, and partner with stakeholders to deliver reliable data solutions.
Top Skills:
.NetAzureDatabricksOraclePythonSnowflakeSQLSQL ServerSsisTeradata
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Partner with healthcare clients to design, prototype, and deploy production-grade AI/LLM solutions. Lead discovery, architecture, and delivery of cloud-native, scalable systems; translate business needs into technical roadmaps; integrate models, APIs, and automation; and drive measurable client outcomes while enabling transition to production teams.
Top Skills:
Ai AgentsAPIsAWSAzureClaudeCloud-NativeCodexCopilotsData IntegrationDistributed SystemsGCPLlmsMachine LearningModel DeploymentPrompt Engineering
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Lead the integration of behavioral science into product and design, shaping choice architecture and experience frameworks to improve member outcomes. Translate research and metrics into actionable product direction, coach senior practitioners, partner with cross-functional leaders, and build the discipline into a dedicated team over time.
Top Skills:
Safe
What you need to know about the Charlotte Tech Scene
Ranked among the hottest tech cities in 2024 by CompTIA, Charlotte is quickly cementing its place as a major U.S. tech hub. Home to more than 90,000 tech workers, the city’s ecosystem is primed for continued growth, fueled by billions in annual funding from heavyweights like Microsoft and RevTech Labs, which has created thousands of fintech jobs and made the city a go-to for tech pros looking for their next big opportunity.
Key Facts About Charlotte Tech
- Number of Tech Workers: 90,859; 6.5% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Lowe’s, Bank of America, TIAA, Microsoft, Honeywell
- Key Industries: Fintech, artificial intelligence, cybersecurity, cloud computing, e-commerce
- Funding Landscape: $3.1 billion in venture capital funding in 2024 (CED)
- Notable Investors: Microsoft, Google, Falfurrias Management Partners, RevTech Labs Foundation
- Research Centers and Universities: University of North Carolina at Charlotte, Northeastern University, North Carolina Research Campus
