Senior Product Manager

Summary

Join SmithRx, a rapidly growing Health-Tech company, as a Senior Product Manager for Eligibility and Administration. Lead the strategy and execution for SmithRx’s Eligibility System and Admin tools, ensuring seamless member enrollment and accurate eligibility management. Collaborate with engineering, design, operations, and customer success teams to manage tools and workflows supporting member enrollment and eligibility. Leverage analytics to measure success, identify improvements, and drive innovation. This role requires strong analytical skills, experience managing complex systems integrations, and excellent communication skills. The ideal candidate will have a Bachelor's degree (advanced degree preferred) and 5+ years of product management experience in healthcare, eligibility, or administration.

Requirements

• Bachelor’s degree in Business, Computer Science, or a related field; advanced degree preferred
• 5+ years of product management experience, preferably with a focus on systems and tools in healthcare, eligibility, or administration domains
• Strong analytical skills with proficiency in tools like SQL, Python, or other data analysis platforms
• Experience managing complex systems integrations, particularly with third-party administrators (TPAs)
• Excellent communication skills, with the ability to explain technical concepts to diverse audiences
• Proven ability to prioritize and deliver in a fast-paced, cross-functional environment

Responsibilities

• Manage tools and processes for adding members, creating accounts, and updating eligibility statuses
• Optimize member enrollment workflows to ensure a seamless onboarding experience
• Oversee the accurate determination and management of member eligibility, including syncing files for terminated members and maintaining consistency across systems
• Lead efforts to manage changes to membership details, including updates to group and account status, ensuring members have uninterrupted access to benefits
• Manage integrations with third-party administrators (TPAs), ensuring accurate data exchange and seamless member eligibility verification
• Work closely with stakeholders to enhance data consistency and integrity in external partnerships
• Develop and track key performance metrics to measure the success of eligibility and admin processes
• Provide actionable insights to improve tools and workflows, ensuring alignment with company OKRs
• Serve as the subject matter expert on eligibility-related analytics to support data-informed decision-making
• Work closely with cross-functional teams to align on priorities and ensure successful delivery of projects
• Clearly communicate progress, challenges, and solutions to stakeholders across the organization

Preferred Qualifications

Knowledge of healthcare or pharmacy benefit management (PBM) systems is a plus

Benefits

• Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and AD&D Insurance
• Flexible Spending Benefits
• 401(k) Retirement Savings Program
• Short-term and long-term disability
• Discretionary Paid Time Off
• 12 Paid Holidays
• Wellness Benefits
• Commuter Benefits
• Paid Parental Leave benefits
• Employee Assistance Program (EAP)
• Well-stocked kitchen in office locations
• Professional development and training opportunities