About The Position

We are seeking a highly experienced RxCLAIM Product Owner to lead the product vision, roadmap, and delivery for enterprise PBM solutions. The ideal candidate will have deep hands-on expertise in RxCLAIM, strong exposure to other PBM platforms, and a proven ability to work with business, clinical, and technology stakeholders to deliver scalable, compliant, and high-performing pharmacy solutions. This role requires strong domain knowledge, strategic thinking, and the ability to translate complex PBM requirements into actionable product backlogs while driving continuous value delivery.

Requirements

  • 10+ years of experience in RxCLAIM or any other Pharmacy Benefit Management (PBM) systems
  • Product Ownership

Responsibilities

  • Own and drive the product vision, roadmap, and backlog for RxCLAIM-based solutions
  • Align product strategy with PBM business goals, regulatory requirements, and client needs
  • Define and prioritize features, enhancements, and technical initiatives based on business value
  • Act as subject matter expert (SME) for RxCLAIM modules including:
  • Claims adjudication
  • Plan setup & benefit configuration
  • Pricing, accumulators, and edits
  • Prior authorization & DUR
  • Eligibility, formularies, and networks
  • Leverage experience with other PBM systems (e.g., MedImpact, Argus, custom PBM platforms) to drive best practices and comparative insights
  • Support integrations with downstream and upstream systems (eligibility, providers, pharmacies, rebate systems, data warehouses)
  • Serve as Product Owner in Agile/Scrum teams, owning user stories, acceptance criteria, and backlog grooming
  • Work closely with architects, developers, QA, and DevOps teams to ensure high-quality delivery
  • Collaborate with business stakeholders, clients, operations, and compliance teams
  • Participate in PI planning, sprint planning, demos, and retrospectives
  • Ensure solutions comply with CMS, HIPAA, Medicaid/Medicare, and state-specific regulations
  • Partner with compliance and audit teams during regulatory changes and implementations
  • Drive data accuracy, performance, and scalability across PBM solutions
  • Analyze production issues, client feedback, and operational metrics to identify improvement opportunities
  • Support modernization initiatives such as cloud migration, automation, and API enablement
  • Mentor junior product owners and business analysts in PBM and RxCLAIM best practices

Benefits

  • Competitive salary package, share plan, company performance bonuses, value-based recognition awards, referral bonus
  • Career coaching, global career opportunities, non-linear career paths, internal development programmes for management and technical leadership
  • Complex projects, rotations, internal tech communities, training, certifications, coaching, online learning platforms subscriptions, pass-it-on sessions, workshops, conferences
  • Hybrid work and flexible working hours, employee assistance programme
  • Global internal wellbeing programme, access to wellbeing apps
  • Global internal tech communities, hobby clubs and interest groups, inclusion and diversity programmes, events and celebrations
  • Robust healthcare and benefits including Medical, Dental, vision, Disability coverage, and various other benefit options
  • Flexible Spending Accounts (Medical, Transit, and Dependent Care)
  • Employer Paid Life Insurance and AD&D Coverages
  • Health Savings account paired with our low-cost High Deductible Medical Plan
  • 401(k) Safe Harbor Retirement plan with employer match with immediately vest
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