Sr. Product Manager | Pharmacy Payment Integrity

United StatesOn-site

Responsibilities

Own the product roadmap for AI agents, voice AI and IVR automation, intelligent data acquisition, automated payment/recovery workflows, and customer-facing analytics. What you'll do
Payment and recovery automation : Build end-to-end automation for bulk billing, auto-invoicing, denial recovery, and recovery submission workflows.
Track record transforming manual processes into automation-first products with measurable ROI •

Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise.
Machinify is seeking a Product Manager to transform pharmacy payment integrity from manual workflows to AI-first automation.
Agentic workflow automation : Design and ship AI agents that automate COB investigations, primacy determination, validation, claims tagging, and recovery handoff across Medicare, Medicaid, and commercial flows.
AI agent capabilities : Define agent behavior, decision logic, human-in-the-loop handoffs, quality guardrails, and pilot-to-scale deployment plans.
Computer Science degree (BS/MS required)
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
Experience building customer-facing analytics for external clients

We’re constantly reimagining what’s possible in our industry, creating disruptively simple, powerfully clear ways to maximize financial outcomes and drive down healthcare costs.
Voice AI and conversational data acquisition : Replace legacy IVR/phone-based verification with AI-powered conversational workflows; integrate third-party insurance discovery APIs and PBM portal automation.