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Product Manager-Claims Adjudication

4 months ago

Fort Lauderdale, United States BuzzRx Full time
Job DescriptionJob DescriptionJob Title: Product Manager - Claims Adjudication
Location: Remote
About BuzzRx:At BuzzRx, we're leading the way in pharmaceutical technology, dedicated to innovating solutions that enhance healthcare outcomes. Our team is committed to developing state-of-the-art technologies that significantly impact patient care and reduce costs for prescription medications.
Position Overview:As a Product Manager over Claims Adjudication at BuzzRx, you will have a role with a broad scope of responsibilities spanning over all solutions related to the processing, pricing, and the advancement of pharmacy claims transactions. Your primary focus will be aligning core business outcomes to those of customers through Product workshops, stakeholder management, discovery and planning, and participate in executive-level presentations.
You'll be responsible for leading the evolution and integration of our processing platforms and the management of third party platforms. You will function as a subject matter expert on NCPDP standards - spanning Telecom and SCRIPT standards - leading the organization in appropriately implementing and adhering to standards.
Key Responsibilities:
  • Scope, evaluate, define and drive forward new functionality and features related to claims processing and adjudication.
  • Stay active and current in NCPDP and function as a subject matter expert on Telecom and SCRIPT standards. Participate in task groups and other work groups as needed.
  • Own the management of adjudication platforms, new functionality and features, and day to day operational needs.
  • Aide in the strategic planning, and drive execution of product roadmaps across both B2B and consumer business.
  • Develop detailed and crisp business requirements that can be used to create product specifications and architecture for the capabilities offered.
  • Collaborate with cross-functional teams and strategic business leaders to align product development with company objectives.
  • Drive innovation in product development, staying ahead of market trends and customer needs.
  • Ensure the delivery of high-quality, impactful products that meet both market demands and regulatory standards.
Qualifications:
  • 2+ years of experience with pharmacy data sets and standards including NCPDP, MediSpan, FDB, GSDD, etc.
  • 2+ years of experience working with pharmacy claims adjudication systems.
  • Deep Experience with NCPDP standards including Telecom and SCRIPT and other healthcare standards.
  • Active participation in NCPDP work groups, expertise in SCRIPT and Telecom standards.
  • Minimum of 3 years in Product Management, with proven experience in leading and developing product management teams.
  • Experience in both B2B and B2C product environments.
  • Demonstrated success in launching and managing innovative products.
  • Strong strategic thinking and execution skills.
  • Experience in gathering insights from customers and driving customer-led initiatives.
  • Prioritize shipping working software, with an "execution mindset" focused on getting things done quickly and simply.
  • Strong interpersonal skills, negotiating ability and evidence of enabling teamwork in a matrix environment.
  • Experience in healthcare, pharmacy, or other transactional processing systems.
  • Excellent leadership and team-building abilities, with a focus on coaching and mentoring.
  • Experience in the pharmaceutical or healthcare industry is highly desirable.
  • Bachelor's or Master's degree in Business, Technology, related field or a combination of education and work experience may be considered.
What BuzzRx Offers:
  • A dynamic, supportive, and collaborative work culture.
  • Numerous opportunities for professional development and career growth.
  • A competitive compensation package, including salary and benefits.
  • The opportunity to be a significant part of a company revolutionizing the pharmaceutical technology landscape.
How to Apply:Interested candidates should submit a resume and a cover letter expressing your interest in the role at BuzzRx as an experienced Senior Product Manager - Claims Adjudication.
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