Rightway is looking for a Senior Product Manager to own the strategy, integration, and management of internal and third-party platforms crucial for their PBM operations, including claims adjudication, prior authorization, and formulary management. The goal is to optimize vendor partnerships, ensure seamless integration with internal tools, and prepare the technology infrastructure for future business lines like Medicare, meeting evolving regulatory, operational, and client needs.
Requirements
- Solid foundation in product management, including leading cross-functional development efforts and managing product backlogs
- Ability to work independently and drive execution with minimal direction
- Comfortable working across complex systems and vendor tools
- Experience managing or implementing third-party platforms, ideally in areas such as claims processing, benefit administration, or clinical operations
- Proven ability to lead cross-functional initiatives involving product, engineering, legal, and operations stakeholders
- Familiarity with systems that support regulated healthcare markets, including Medicare
- Exposure to APIs, system integrations, or healthcare data platforms
Responsibilities
- Evaluate current platform capabilities and ensure alignment with business needs across claims, prior authorization, and formulary systems
- Lead internal discovery efforts and market assessments to identify and justify new platform investments
- Define the long-term strategy for how internal and external platforms will evolve to support operational scale, regulatory requirements, and clinical priorities
- Lead platform enhancements, migrations, and integration projects from requirements through go-live
- Collaborate closely with engineering and technical teams to ensure scalable integration with internal tools
- Configure and optimize platforms to improve cost-efficiency, automation, and ease of support
- Define and track KPIs related to system performance and reliability
Other
- Act as the primary product point of contact for internal stakeholders and external vendors
- Maintain clear documentation and internal communications for platform-related changes
- Provide structured updates to leadership and align platform work with broader PBM and product goals
- Develop deep expertise in pharmacy technology standards and best practices
- Stay current on industry changes and help ensure Rightway's platforms evolve with the market
