Senior Product Manager, Copay Programs

🔥 33 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟠 Senior

✅ Product Manager

👻 Ghost score 10%

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CareMetx, LLC

WebsiteLinkedInAll Job Openings

501 - 1000 employees

💼 Consulting

🏥 Healthcare

⚕️ Healthcare Insurance

Consulting • Healthcare • Healthcare Insurance

CareMetx, LLC is a company that specializes in transforming patient access to specialty therapeutics by reducing the time to therapy. They offer a digital Hub service that addresses emotional, financial, and clinical barriers for patients, aiming to improve treatment timelines and ongoing therapy use. CareMetx provides high-touch support and utilizes advanced technology to offer solutions for access, affordability, and adherence, benefiting both patients and healthcare providers. They partner with specialty pharmaceutical brands, healthcare providers, and hospital systems to enhance patient outcomes.

📋 Description

• Own the definition and ongoing evolution of CareMetx's copay program service model • Serve as the senior internal authority on pharmaceutical copay program mechanics • Identify capability gaps and develop prioritized plans to address them • Translate client needs into program requirements, operational standards, and vendor specifications • Review active programs and identify optimization opportunities • Monitor industry trends, competitive landscape, and vendor platform capabilities • Manage day-to-day vendor performance against program standards and SLAs • Monitor vendor delivery, data quality, operational risks, and issue resolution • Facilitate vendor performance reviews and document issues and improvement plans • Provide input into vendor contract renewals and SLA definitions • Advise Account Management on copay programs and complex client questions • Partner with Operations on program setup, configuration, and issue resolution • Build training materials, process documentation, escalation frameworks, and quick-reference guides • Develop and deliver copay program training • Participate in pre-sales conversations and new client onboarding as the copay subject matter expert • Define and maintain the copay program capability roadmap • Recommend capabilities based on market trends and client feedback • Shape long-term copay platform strategy, including Build/Buy evaluations • Define success metrics and report performance to senior leadership • Establish standards and frameworks for scalable copay program reporting • Translate adjudication data, utilization trends, and program metrics into performance narratives • Identify program data anomalies and communicate findings to Account Management and Operations

🎯 Requirements

• 7+ years of experience in pharmaceutical patient services, hub services, specialty pharmacy, reimbursement program management, or related product/operations roles • Deep working knowledge of pharmaceutical copay program mechanics, including eligibility, adjudication, benefit design, and reimbursement operations • Demonstrated product management experience defining requirements, owning service or capability roadmaps, and driving cross-functional execution • Proven ability to serve as an internal subject matter expert, advising and enabling account management and operations teams • Senior-level vendor or partner relationship management experience, including performance oversight, SLA accountability, and issue resolution • Strong analytical fluency and ability to interpret program performance data and translate findings into recommendations • Excellent communication skills for translating complex program concepts to technical and non-technical audiences • Direct experience with pharmaceutical reimbursement platform vendors, such as copay card processors or hub services platforms • Experience defining or scaling a copay, reimbursement, or patient services capability within a growing organization • Familiarity with pharmaceutical manufacturer brand teams, market access functions, and patient support program strategy • Experience contributing to vendor contract discussions and SLA development • Background in both product management and pharmaceutical operations • Must be flexible on schedule and hours • Some travel may be required • Must regularly sit and occasionally lift or move up to 10 pounds

🏖️ Benefits

• Flexible schedule and hours • Potential travel opportunities • Reasonable accommodations for individuals with disabilities • Equal employment opportunity