Senior Product Manager – Pharmacy Payment Integrity

Job not on LinkedIn

🕒 3 days ago

🇺🇸 United States – Remote

⏰ Full Time

🟠 Senior

✅ Product Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

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Machinify

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

💰 $10M Series A - Machinify on 2018-10

Healthcare • Consulting • Logistics

Machinify is a healthcare-focused AI platform and services company that reshapes healthcare payments and payment integrity. Its AI operating system unifies claims, medical records, contracts, and policies, and uses foundation models and task-specific agents to automate and improve coding, payment accuracy, recoveries, and cost avoidance. Machinify serves health plans (including 18 of the top 20), supports insourced, hybrid, or fully-managed deployments, and emphasizes measurable outcomes — reporting 85+ customers, 270M member lives covered, and $6B+ in annual cost avoidance and recoveries.

📋 Description

• 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 • 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

🎯 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 • Management consulting experience and healthcare domain knowledge are a strong plus

🏖️ Benefits

• Work from anywhere in the US; Machinify is digital-first • Top Medical/Dental/Vision offerings • FSA/HSA • Tuition reimbursement • Competitive salary • 401(k) with company match • Unlimited PTO • Additional health and wellness benefits and perks • Flexible and trusting environment where you’ll feel empowered to do your best work • Meaningful equity • Flexible time off

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