Note: The job is a remote job and is open to candidates in USA. Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. The Product Manager will transform pharmacy payment integrity from manual workflows to AI-first automation, owning the product roadmap for various AI and automation initiatives.
Responsibilities
- Design and ship AI agents that automate COB investigations, primacy determination, validation, claims tagging, and recovery handoff across Medicare, Medicaid, and commercial flows
- Replace legacy IVR/phone-based verification with AI-powered conversational workflows; integrate third-party insurance discovery APIs and PBM portal automation
- Build end-to-end automation for bulk billing, auto-invoicing, denial recovery, and recovery submission workflows
- Redesign the customer portal with real-time dashboards, SLA transparency, recovery pipeline visibility, and self-service reporting that crystallizes customer ROI
- Define agent behavior, decision logic, human-in-the-loop handoffs, quality guardrails, and pilot-to-scale deployment plans
- Partner with operations teams to identify high-volume, low-complexity workflows for automation; translate domain expertise into automated logic
Skills
- Computer Science degree (BS/MS required)
- 5+ years of combined prior experience as both Product Manager AND Software Engineer (hands-on coding background required)
- Technical understanding of agentic AI architectures, voice interfaces, API integrations, data pipelines, and BI platforms
- Track record transforming manual processes into automation-first products with measurable ROI
- Experience building customer-facing analytics for external clients
- Strong collaboration with operations and domain experts
- Management consulting experience
- Healthcare domain knowledge
Benefits
- Work from anywhere in the US! Machinify is digital-first.
- Top Medical/Dental/Vision offerings
- FSA/HSA
- Tuition reimbursement
- Competitive salary, 401(k) with company match
- Unlimited PTO
- Additional health and wellness benefits and perks
- Flexible and trusting environment where you’ll feel empowered to do your best work
- Meaningful equity
- Excellent healthcare
- Flexible time off
Company Overview