Senior Product Manager, PBM Platform
ABOUT THE ROLE:
Rightway is looking for a Senior Product Manager to own claims adjudication, the system at the center of Rightway’s PBM. Adjudication covers the full lifecycle of a pharmacy claim: eligibility, coverage, pricing, rejections, overrides, and coordination of benefits. It is one of the most complex and consequential product areas at Rightway, and this role owns its strategy, roadmap, and delivery.
You will develop deep expertise in how pharmacy claims adjudicate today and use that to define where the platform goes next — working through real claim behavior alongside engineering, writing requirements precise enough to build against, setting the bar for correctness, and owning the validation approach that proves the system is ready for production volume. The role reports to the Director, Product Management, and operates with a high degree of independence. It requires someone who can take full ownership of a major product initiative and work cross-functionally across product, engineering, operations, clinical, and compliance.
WHAT YOU’LL DO:
- Own the vision, roadmap, and delivery plan for claims adjudication, including how it scales with volume, new clients, and new lines of business
