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Senior Product Manager, PBM Platform

Rightway Healthcare · New York, NY or Remote · Remote

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About Rightway Healthcare

Backed by Khosla.

About the role

Rightway is looking for a Senior Product Manager to own claims adjudication, the system at the center of Rightway’s PBM. Adjudication covers the full lifecycle of a pharmacy claim: eligibility, coverage, pricing, rejections, overrides, and coordination of benefits. It is one of the most complex and consequential product areas at Rightway, and this role owns its strategy, roadmap, and delivery.

What they're looking for

  • Bachelor's degree required, 5 or more years of product management experience, preferably in healthcare or enterprise technology
  • Experience with complex, rules-driven transaction processing systems such as claims adjudication, payments, or benefit administration, including responsibility for correctness and testing
  • Experience leading a platform migration or major system transition from requirements through go-live
  • Proven ability to lead cross-functional initiatives involving product, engineering, legal, and operations stakeholders
  • Ability to work independently and drive execution with minimal direction
  • Strong communicator who collaborates well across technical and non-technical teams
More about this role

Rightway is looking for a Senior Product Manager to own claims adjudication, the system at the center of Rightway’s PBM. Adjudication covers the full lifecycle of a pharmacy claim: eligibility, coverage, pricing, rejections, overrides, and coordination of benefits. It is one of the most complex and consequential product areas at Rightway, and this role owns its strategy, roadmap, and delivery.

You will develop deep expertise in how pharmacy claims adjudicate today and use that to define where the platform goes next — working through real claim behavior alongside engineering, writing requirements precise enough to build against, setting the bar for correctness, and owning the validation approach that proves the system is ready for production volume. The role reports to the Director, Product Management, and operates with a high degree of independence. It requires someone who can take full ownership of a major product initiative and work cross-functionally across product, engineering, operations, clinical, and compliance.

  • Own the vision, roadmap, and delivery plan for claims adjudication, including how it scales with volume, new clients, and new lines of business
  • Build deep...

Read the full posting on Rightway Healthcare's site ↗

Product: Management

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