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