Product Manager RCM (Pharmacy)

Product Manager RCM (Pharmacy)

The Product Manager RCM (Pharmacy) is responsible for bringing pharmacy expertise directly into product strategy, roadmap decisions, and product execution. This role ensures pharmacy workflows, reimbursement processes, customer needs, and industry requirements are translated into scalable product capabilities that support the future direction of RCM. The Product Manager serves as the voice of the pharmacy customer, combining first-hand pharmacy experience with product management discipline to drive product decisions grounded in how pharmacies actually operate. This role works closely with Product Leadership, Engineering, Client Experience, Operations, and Sales to deliver solutions that improve customer outcomes while supporting long-term platform evolution.

Primary Responsibilities

• Serve as the primary pharmacy subject matter expert within Product
• Bring first-hand understanding of pharmacy workflows, reimbursement processes, and operational realities into product decisions
• Translate pharmacy operational needs into product capabilities and requirements
• Ensure product decisions align with real-world pharmacy workflows and customer expectations
• Provide pharmacy domain expertise to Product, Engineering, Client Experience, and Sales teams

Customer & Market Insight

• Conduct customer discovery, Voice of Customer (VOC), and workflow validation activities
• Identify customer pain points, unmet needs, and emerging market opportunities
• Monitor pharmacy industry trends, payer requirements, reimbursement changes, and evolving customer expectations
• Validate product concepts and roadmap priorities with customers and stakeholders
• Represent the voice of the pharmacy customer throughout the product lifecycle

Product Strategy & Roadmap Ownership

• Own and maintain pharmacy-focused product roadmap priorities
• Develop product requirements and acceptance criteria
• Balance customer needs, business objectives, and technical considerations when prioritizing work
• Partner with Engineering to deliver product capabilities that support both current and future business needs
• Support long-term platform strategy while addressing immediate customer requirements

Product Delivery & Execution

• Independently manage product initiatives through the full product lifecycle from concept through launch
• Maintain and prioritize product backlogs
• Identify risks, dependencies, and implementation challenges early
• Participate in Agile ceremonies and coordinate activities across teams
• Ensure delivered capabilities meet customer, operational, and business objectives

Industry Change Leadership

• Monitor pharmacy industry trends, payer requirements, reimbursement changes, and evolving customer needs
• Evaluate impacts of industry changes on pharmacy workflows and customer operations
• Serve as the primary product lead for understanding and defining product responses to pharmacy industry changes
• Partner with customers, pharmacy stakeholders, and industry groups to validate requirements and priorities
• Translate industry changes into product strategy, roadmap priorities, and customer-facing capabilities

Cross-Functional Leadership

• Build strong partnerships across Engineering, Client Experience, Operations, Sales, and Product Leadership
• Communicate priorities, tradeoffs, and roadmap decisions effectively
• Drive alignment across teams impacted by product initiatives
• Support successful adoption and rollout of new capabilities

Required Qualifications

• Bachelor's degree in Business, Healthcare, Technology, Pharmacy, or related field
• 35+ years of Product Management experience with ownership of roadmap, prioritization, and delivery
• Pharmacy background or direct pharmacy operational experience
• Experience working with reimbursement processes and pharmacy workflows
• Experience partnering with Engineering and cross-functional teams
• Strong communication and stakeholder management skills

Preferred Qualifications

• Pharmacy Technician certification, PharmD, or equivalent pharmacy operational experience
• Experience with pharmacy reimbursement and payment workflows
• Experience with healthcare transaction standards such as NCPDP and EDI 835
• Experience in Revenue Cycle Management or healthcare financial workflows
• Experience operating in complex and rapidly evolving product environments

Key Skills & Experience

Pharmacy & Industry Expertise

• Deep understanding of pharmacy workflows and reimbursement processes
• Strong understanding of how pharmacies operate and get paid
• Ability to connect customer challenges with product opportunities
• Knowledge of payer and reimbursement trends impacting pharmacies

Product Management

• Product roadmap ownership
• Backlog management and prioritization
• Requirements development and user story creation
• Customer discovery and validation
• Product lifecycle management

Customer & Market Understanding

• Voice of Customer execution
• Workflow analysis and customer research
• Market and competitive awareness
• Ability to identify opportunities and emerging customer needs

Leadership & Collaboration

• Strong cross-functional partnership skills
• Ability to influence without direct authority
• Effective communication across technical and non-technical audiences
• Ability to balance customer, business, and technical priorities

Communicate & Deliver Impact

• Clearly communicate product strategy, priorities, risks, and roadmap decisions
• Provide transparency on delivery progress, tradeoffs, and mitigation plans
• Translate complex pharmacy workflows into understandable product decisions
• Monitor adoption, customer feedback, and delivered value
• Deliver on commitments with accountability and reliability

Individual Competencies

• Strategic Thinking Connects pharmacy customer needs to long-term RCM strategy and platform evolution
• Customer Insight Deeply understands pharmacy workflows, reimbursement processes, and customer challenges
• Product Discipline Applies structured product management practices to roadmap development and execution
• Technical Fluency Works effectively with Engineering to evaluate solutions, dependencies, and tradeoffs
• Execution Delivers measurable business and customer outcomes with accountability
• Communication Clearly articulates product direction, rationale, and priorities
• Problem Solving Uses data, customer feedback, and structured thinking to drive decisions

What Success Looks Like

• Product decisions grounded in real pharmacy workflows and customer needs
• Strong customer engagement and validation of roadmap priorities
• Clear alignment between pharmacy operations, product strategy, and engineering execution
• Successful adaptation to evolving pharmacy industry requirements
• Strong adoption of delivered product capabilities
• Effective partnership with Product Lead Financial Data & Transformation to balance customer needs, business rules, and platform evolution
• Scalable pharmacy-focused capabilities that support the future direction of RCM
• Increased customer confidence that product decisions reflect real-world pharmacy operations

Physical Demands

The physical demands described here are representative of those that must be met by an associate to successfully perform the major job responsibilities (essential functions) of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the major job responsibilities. This job description is not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the job.

• Use Hands to Handle Objects - Regularly
• Reach with Hands or Arms - Regularly
• Talk or Hear and Read Instructions - Regularly
• Stand, Kneel, or Stoop and Lift 20 Pounds - Occasionally
• View Items at a Close Range - Regularly

Rarely: Job requires this activity up to 25% of the time Occasionally: Job requires this activity between 25% - 50% of the time Frequently: Job requires this activity between 50%