$90K - 130K a year
Map pharmacy workflows, design electronic prior authorization solutions, integrate clinical documentation, shape product roadmap, and drive adoption to improve therapy approval processes.
3+ years product management in healthcare technology or pharmacy benefit management, technical fluency with pharmacy standards and systems, strong communication, and data-driven decision making.
Description: • Map pharmacy workflows: engage with specialty pharmacies, providers, and payers to understand how prior authorization requests are initiated, submitted, and followed through across medical and pharmacy benefits • Design better submissions: build solutions that enable electronic prior authorization, reducing faxing, phone calls, and duplicate entry • Integrate clinical documentation: partner with teams to ensure that authorization requests include the correct clinical notes, lab values, and patient attestation • Shape the roadmap: translate payer rules, requirements, and customer feedback into a clear product vision for how pharmacies handle complex therapies • Drive adoption: lead features from ideation to rollout, ensuring providers see measurable improvements in speed-to-therapy and approval rates Requirements: • 3+ years in product management, ideally in healthcare technology, specialty pharmacy, or pharmacy benefit management • Customer-first mindset: able to translate payer and PBM complexity into clear workflows • Technical fluency: comfortable with NCPDP SCRIPT, X12 278, FHIR, payer portals, and hub integrations • Strong communicator: align engineers, pharmacies, and payer stakeholders on shared goals • Data-driven and proactive: track metrics like time-to-approval, submission success rates, and patient access to guide priorities • Experience with specialty pharmacy operations, PBM systems, or payer prior authorization platforms is a bonus • Familiarity with Epic and third-party pharmacy management systems Benefits: • Impactful Work: Contribute to innovative solutions that improve healthcare efficiency and patient outcomes • Remote Flexibility: Enjoy working remotely while being part of a collaborative team, with access to our new office in Winter Park, FL • Competitive Compensation: Enjoy competitive base compensation, equity through our Employee Stock Option Plan, and bonus-eligible roles • Comprehensive Benefits: Full benefits package including unlimited PTO and 401k program with employer match • Growth Opportunities: Advance your career in a fast-paced, high-impact environment with ample professional development • Inclusive Culture: Join a diverse workplace where your ideas and contributions are valued
This job posting was last updated on 10/12/2025