TL;DR

Senior Product Manager (Medtech): Driving the product vision, strategy, and execution for a high-performance pharmacy claims adjudication engine with an accent on NCPDP standards, real-time transaction processing, and complex clinical logic. Focus on scaling a cloud-native architecture, optimizing latency and financial accuracy, and bridging the gap between clinical rules and engineering implementation.

Location: Must be based in the United States (US-based benefits, 401(k) retirement savings, and US health insurance).

Company

SmithRx is a mission-driven, venture-backed Health-Tech company dedicated to transforming the Pharmacy Benefit Management (PBM) industry through innovative technology and improved service.

What you will do

  • Define and drive the multi-year product roadmap for the core claims adjudication platform.
  • Act as the internal Subject Matter Expert on NCPDP Telecommunication Standards.
  • Lead the end-to-end lifecycle for adjudication features from requirement gathering to deployment.
  • Partner with engineering and data science teams to scale the engine for high-volume transactions.
  • Monitor and optimize KPIs related to claim success rates, latency, and financial accuracy.
  • Collaborate with operations and clinical teams to streamline manual overrides and exception handling.

Requirements

  • Must be based in the United States
  • 5+ years of experience in Product Management or a related technical domain.
  • 3+ years of specific experience in claims adjudication, pharmacy switch technology, or PBM platforms.
  • Deep technical knowledge of NCPDP Telecommunication Standards (Version D.0 and beyond).
  • Proven ability to lead cross-functional collaboration between engineering, data science, and operations.
  • Strong analytical skills with experience leveraging data modeling to improve system efficiency.

Nice to have

  • Experience incorporating EGWP guidelines into adjudication logic.
  • Understanding of Medicare Part D compliance or OIG/CMS reporting standards.

Culture & Benefits

  • Comprehensive wellness benefits including Medical, Pharmacy, Dental, and Vision insurance.
  • 401(k) retirement savings program with company participation.
  • Flexible Spending Benefits and commuter perks.
  • Discretionary Paid Time Off and paid company holidays.
  • Paid parental leave and Employee Assistance Program.
  • Opportunities for professional development and training.