Lead the product vision, roadmap, and delivery for enterprise PBM solutions
Drive continuous value delivery by translating complex PBM requirements into actionable product backlogs
Collaborate with business, clinical, and technology stakeholders to deliver scalable, compliant, and high-performing pharmacy solutions

Requirements

10+ years of experience in RxCLAIM or any other Pharmacy Benefit Management (PBM) systems
Product Ownership
Own and drive the product vision, roadmap, and backlog for RxCLAIM-based solutions
Align product strategy with PBM business goals, regulatory requirements, and client needs
Define and prioritize features, enhancements, and technical initiatives based on business value
Act as subject matter expert (SME) for RxCLAIM modules including: Claims adjudication, Plan setup & benefit configuration, Pricing, accumulators, and edits, Prior authorization & DUR, Eligibility, formularies, and networks
Leverage experience with other PBM systems (e.g., MedImpact, Argus, custom PBM platforms) to drive best practices and comparative insights
Support integrations with downstream and upstream systems (eligibility, providers, pharmacies, rebate systems, data warehouses)
Serve as Product Owner in Agile/Scrum teams, owning user stories, acceptance criteria, and backlog grooming
Work closely with architects, developers, QA, and DevOps teams to ensure high-quality delivery
Collaborate with business stakeholders, clients, operations, and compliance teams
Participate in PI planning, sprint planning, demos, and retrospectives
Ensure solutions comply with CMS, HIPAA, Medicaid/Medicare, and state-specific regulations
Partner with compliance and audit teams during regulatory changes and implementations
Drive data accuracy, performance, and scalability across PBM solutions
Analyze production issues, client feedback, and operational metrics to identify improvement opportunities
Support modernization initiatives such as cloud migration, automation, and API enablement
Mentor junior product owners and business analysts in PBM and RxCLAIM best practices

Benefits

Competitive salary package
Share plan
Company performance bonuses
Value-based recognition awards
Referral bonus
Career coaching
Global career opportunities
Non-linear career paths
Internal development programmes for management and technical leadership
Complex projects
Rotations
Internal tech communities
Training
Certifications
Coaching
Online learning platforms subscriptions
Pass-it-on sessions
Workshops
Conferences
Hybrid work and flexible working hours
Employee assistance programme
Global internal wellbeing programme
Access to wellbeing apps
Global internal tech communities
Hobby clubs and interest groups
Inclusion and diversity programmes
Events and celebrations

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

RxCLAIMPharmacy Benefit Management (PBM)AgileScrumClaims adjudicationPlan setup & benefit configurationPricingPrior authorizationData analysisCloud migration

Soft Skills

Product OwnershipCollaborationMentoringStakeholder engagementStrategic alignmentProblem-solvingCommunicationLeadershipContinuous improvementAdaptability