Product Manager IV

Role Overview

• Develops, owns, and executes end‑to‑end product strategy, positioning, and go‑to‑market plans aligned with company objectives
• Maintains a strong understanding of customer needs, competitive landscape, and market forces, including the company’s position relative to competitors
• Analyzes market opportunities, anticipates industry trends, and evaluates feasibility and financial justification for new products and enhancements to existing products
• Defines, documents, and prioritizes requirements for current and future products considering business capabilities, technology constraints, quality, cost, customer interactions, and marketplace demands
• Oversees the product lifecycle from concept through delivery, ongoing optimization, and retirement
• Partners closely with cross‑functional teams—including technical architecture, engineering, development, analytics, operations, and commercial teams—to ensure solutions meet financial, timing, and customer expectations
• Defines target customer segments and supports sales teams through product expertise, lead generation support, and solution positioning
• Leads medium to large initiatives or complex, high‑visibility product efforts requiring broad business perspective, conceptual thinking, and in‑depth analytical problem solving
• Performs root cause analysis on product, claims, or operational issues and drives resolution through data‑driven recommendations
• Designs and documents business and operational workflows that support scalable and compliant product delivery
• Develops and maintains product policies, procedures, and best practices; recommends continuous process improvements
• Mentors and provides guidance to junior product managers, analysts, and cross‑functional partners
• May lead a process, program, or functional capability without direct people management responsibility.

Requirements

• Strong experience in Pharmacy Benefit Management (PBM) environments
• Working knowledge of pharmacy point‑of‑sale (POS) and claims processing
• Understanding of drug management concepts, including formulary management, utilization management, and cost containment strategies
• Experience with authorizations and adjudication processes
• Hands‑on exposure to claims and regulatory data files, including PDEs, encounter data, and paid claims files
• Ability to analyze claims data to identify trends, issues, and financial impacts
• Strong financial acumen, including ability to evaluate business cases, product ROI, and cost/benefit tradeoffs
• Advanced analytical and problem‑solving skills, including structured root cause analysis
• Proven experience in requirements elicitation, documentation, and stakeholder validation
• Ability to write clear acceptance criteria and test cases
• Experience participating in or leading claim testing and validation efforts
• Skilled in designing and documenting end‑to‑end business and operational workflows
• Experience working in Agile delivery environments
• Hands‑on experience using Jira (or comparable Agile tools) for backlog management, tracking, and delivery coordination
• Strong communicator with the ability to translate complex concepts across technical and non‑technical audiences
• Highly flexible and adaptable, able to operate effectively in a dynamic, fast‑paced environment
• Comfortable influencing without authority and working across multiple stakeholder groups.

Benefits

• medical, dental, and vision coverage
• a 401(k) plan with company match
• paid time off
• holidays
• parental leave
• professional development reimbursement opportunity