Senior Product Manager – Pharmacy Payment Integrity

Machinify

. Design and ship AI agents that automate COB investigations, primacy determination, validation, claims tagging, and recovery handoff across Medicare, Medicaid, and commercial flows .

Posted 11/1/2026full-timeRemote • United StatesSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in designing AI agents for automating healthcare workflows, integrating APIs, and building customer-facing analytics. Proven ability to transform manual processes into automation-first products with measurable ROI while collaborating effectively with operations and domain experts.

Highest-signal resume keywords

AI Agent DesignAPI IntegrationAutomation of Healthcare WorkflowsCustomer-Facing AnalyticsManagement Consulting Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Software EngineeringProduct ManagementAgentic AI ArchitecturesVoice InterfacesData PipelinesBusiness Intelligence PlatformsAutomation ProcessesCoding BackgroundAnalytics DevelopmentSLA Transparency

Soft Skills

CollaborationDomain ExpertiseProblem-SolvingCommunicationTeamwork

Tools & Technologies

Third-Party Insurance Discovery APIsPBM Portal AutomationReal-Time DashboardsSelf-Service Reporting

Certifications & Qualifications

Computer Science Degree (BS/MS)

Industry Keywords

Healthcare Domain KnowledgeCOB InvestigationsMedicareMedicaidClaims Tagging

About the role

Key responsibilities & impact

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

Requirements

What you’ll need

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

Benefits

Comp & perks

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
Meaningful equity
Flexible time off