Senior Product Manager

Summary

Join Rightway as a Senior Product Manager and take ownership of the strategy, integration, and management of internal and third-party platforms supporting key PBM operations, including claims adjudication, prior authorization, and formulary management. Assess platform capabilities, optimize vendor partnerships, and ensure seamless integration with internal tools. Prepare technology infrastructure for future lines of business like Medicare, anticipating regulatory, operational, and client needs. This role reports to the Director of Product and demands independence, cross-functional collaboration, and proactive initiative. You will lead platform enhancements, migrations, and integration projects, working closely with engineering and technical teams. Finally, you will act as the primary product contact for internal stakeholders and external vendors.

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
• Strong communicator with the ability to collaborate across technical and non-technical teams
• Detail-oriented and process-focused, with a mindset for improving and scaling workflows
• Comfortable working across complex systems and vendor tools
• Curious and adaptable. Willing to dive deep into unfamiliar topics and find answers
• 5 or more years of product management experience, preferably in healthcare or enterprise technology
• 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

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
• Document workflows, manage the backlog, and coordinate delivery through agile processes
• Partner with clinical, operations, legal, and client success teams to ensure platforms meet workflow and regulatory requirements
• Configure and optimize platforms to improve cost-efficiency, automation, and ease of support
• Define and track KPIs related to system performance and reliability
• 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

Preferred Qualifications

• Experience working in or with PBMs or pharmacy operations
• Familiarity with systems that support regulated healthcare markets, including Medicare
• Familiarity with formulary management tools and how they serve members and prescribers
• Exposure to APIs, system integrations, or healthcare data platforms
• Knowledge of pharmacy-related data standards like NCPDP or Medi-Span is helpful but not required
• An advanced degree in a relevant field (MBA, MPH, or a technical degree) is a plus