Product Manager, Revenue Cycle Management

About the role

We are seeking a technical Product Manager, Revenue Cycle Management to join our team, focused on building and scaling systems that power claims reconciliation, adjudication, and end-to-end payment processing across our pharmacy network.

Key Responsibilities

• Own and drive execution for product initiatives related to claims reconciliation, adjudication workflows, and payment processing systems
• Partner with engineering, data, finance, and operations teams to deliver scalable solutions for transaction accuracy, exception handling, and financial reporting
• Translate complex claims and payment lifecycle requirements into clear product requirements, user stories, and acceptance criteria
• Support the development of systems that manage:
  • Claims ingestion and validation
  • Adjudication logic and rule processing
  • Reconciliation between pharmacy, PBM, and GoodRx systems
  • Payment calculation, disbursement, and tracking
• Analyze system performance and financial data to identify discrepancies, root causes, and optimization opportunities
• Collaborate with stakeholders to ensure alignment on financial accuracy, compliance, and operational efficiency
• Contribute to product roadmap planning and prioritization within your domain
• Develop a strong understanding of pharmacy workflows, claims standards (e.g., NCPDP), and payment systems

Basic Qualifications

• Bachelor’s degree required
• 2–5 years of experience in product management, product operations, or a related role
• Experience working in healthcare, health tech, or pharmacy-related environments
• Exposure to pharmacy claims processing, payments systems, or financial reconciliation workflows
• Strong analytical and problem-solving skills with the ability to work through complex system interactions
• Ability to translate business and financial requirements into product solutions
• Experience working cross-functionally with engineering, data, and business teams

Preferred Qualifications

• Experience working with retail pharmacies, PBMs, or healthcare claims systems
• Familiarity with claims adjudication processes and standards (e.g., NCPDP, switch transactions)
• Understanding of financial systems, payment processing, or ledger/reconciliation concepts (835 ERA transaction)
• Experience with backend/platform products or APIs
• Comfort working with data (SQL or similar tools is a plus)