Sr. Product Manager | Pharmacy Payment Integrity

Machinify

12h•Remote

About The Position

Machinify is seeking a Product Manager to transform pharmacy payment integrity from manual workflows to AI-first automation. This role will own the product roadmap for AI agents, voice AI and IVR automation, intelligent data acquisition, automated payment/recovery workflows, and customer-facing analytics.

Requirements

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

Nice To Haves

Management consulting experience
Healthcare domain knowledge

Responsibilities

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 that crystallizes customer ROI.
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.