product
Posted 3 days agoSr. Product Manager | Pharmacy Payment Integrity
at Machinify
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 •
Requirements
- 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
Experience
- 5+ years of combined prior
Benefits
- 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.