[Remote] Sr. Product Manager | Pharmacy Payment Integrity

Note: The job is a remote job and is open to candidates in USA. Machinify is a leading healthcare intelligence company focused on delivering value and efficiency to health plan clients. They are seeking a Product Manager to lead the transformation of pharmacy payment integrity through AI-first automation, overseeing the product roadmap and various automation workflows.ResponsibilitiesDesign and ship AI agents that automate COB investigations, primacy determination, validation, claims tagging, and recovery handoff across Medicare, Medicaid, and commercial flowsReplace legacy IVR/phone-based verification with AI-powered conversational workflows; integrate third-party insurance discovery APIs and PBM portal automationBuild end-to-end automation for bulk billing, auto-invoicing, denial recovery, and recovery submission workflowsRedesign the customer portal with real-time dashboards, SLA transparency, recovery pipeline visibility, and self-service reporting that crystallizes customer ROIDefine agent behavior, decision logic, human-in-the-loop handoffs, quality guardrails, and pilot-to-scale deployment plansPartner with operations teams to identify high-volume, low-complexity workflows for automation; translate domain expertise into automated logicSkillsComputer 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 platformsTrack record transforming manual processes into automation-first products with measurable ROIExperience building customer-facing analytics for external clientsStrong collaboration with operations and domain expertsManagement consulting experience and healthcare domain knowledge are a strong plusBenefitsWork from anywhere in the US! Machinify is digital-first.Top Medical/Dental/Vision offeringsFSA/HSATuition reimbursementCompetitive salary, 401(k) with company matchUnlimited PTOAdditional health and wellness benefits and perksFlexible and trusting environment where you’ll feel empowered to do your best workCompany OverviewMachinify is a SaaS platform that enables non-technical enterprises to build AI-powered products and processes. It was founded in 2016, and is headquartered in Palo Alto, California, USA, with a workforce of 1001-5000 employees. Its website is http://www.machinify.com.