Sr. Product Manager | Pharmacy Payment Integrity

Location: US

Department: Product

• Agentic workflow automation: Design and ship AI agents that automate COB investigations, primacy determination, validation, claims tagging, and recovery handoff across Medicare, Medicaid, and commercial flows.
• Voice AI and conversational data acquisition: Replace legacy IVR/phone-based verification with AI-powered conversational workflows; integrate third-party insurance discovery APIs and PBM portal automation.
• Payment and recovery automation: Build end-to-end automation for bulk billing, auto-invoicing, denial recovery, and recovery submission workflows.
• Customer-facing analytics: Redesign the customer portal with real-time dashboards, SLA transparency, recovery pipeline visibility, and self-service reporting that crystallizes customer ROI
• AI agent capabilities: Define agent behavior, decision logic, human-in-the-loop handoffs, quality guardrails, and pilot-to-scale deployment plans.
• Operational transformation: Partner with operations teams to identify high-volume, low-complexity workflows for automation; translate domain expertise into automated logic.
  
  

• Computer 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 platforms
• Track record transforming manual processes into automation-first products with measurable ROI
• Experience building customer-facing analytics for external clients
• Strong collaboration with operations and domain experts
• Management consulting experience and healthcare domain knowledge are a strong plus

What We Offer 

• Work from anywhere in the US! Machinify is digital-first.
• Top Medical/Dental/Vision offerings
• FSA/HSA
• Tuition reimbursement
• Competitive salary, 401(k) with company match
• Unlimited PTO
• Additional health and wellness benefits and perks
• Flexible and trusting environment where you’ll feel empowered to do your best work 

The salary for this position is based on an array of factors unique to each candidate: Such as years and depth of experience, set skills, certifications, etc. We are hiring for different levels, and our Recruiting team will let you know if you qualify for a different role/range. Salary is one component of the total compensation package, which includes meaningful equity, excellent healthcare, flexible time off, and other benefits and perks.