As a Product Management Senior Manager, you will lead a team responsible for Medicaid Encounter capabilities that support accurate, compliant, and timely submissions. This is an opportunity to shape strategy, guide high-performing teams, influence enterprise decisions, and help deliver solutions that make a difference for clients, members, and healthcare partners.

If you are a collaborative leader who enjoys solving complex challenges, driving change, and developing people, we'd love to hear from you.

Responsibilities

Drive Product and Business Outcomes

• Lead and develop a team of Advisors and Senior Advisors responsible for Medicaid Encounter capabilities and operational excellence.
• Establish strategic direction that supports compliance, client expectations, operational performance, and long-term business goals.
• Translate complex regulatory requirements into clear priorities, business requirements, and actionable solutions.

Influence Strategy and Execution

• Partner with business, technical, legal, compliance, and operational teams to deliver large-scale cross-functional initiatives.
• Guide product roadmaps and priorities using agile practices and a deep understanding of client and business needs.
• Analyze trends, risks, and opportunities to recommend improvements that strengthen performance and enhance client outcomes.
• Communicate recommendations and progress to leaders, stakeholders, clients, and account teams.

Serve as a Trusted Subject Matter Expert

• Act as a recognized expert in Medicaid Encounter programs and regulated market capabilities.
• Interpret regulatory guidance and help ensure compliant implementation across teams and processes.
• Represent the organization in client meetings, industry forums, audits, and cross-functional discussions.
• Develop and deliver training that builds capability and supports organizational growth.

Strengthen Operational Excellence

• Ensure policies, procedures, controls, and monitoring activities are well documented and consistently followed.
• Oversee project plans, deliverables, timelines, and communications to drive successful outcomes.
• Support issue resolution through data analysis, system expertise, and cross-functional collaboration.
• Foster a culture of continuous improvement, learning, accountability, and teamwork.

Qualifications

Required Qualifications

• 5+ years of experience in pharmacy benefit management (PBM), regulated markets, healthcare operations, product management, or a related field.
• Experience leading people, teams, projects, or large-scale business initiatives.
• Knowledge of pharmacy adjudication processes and PBM operations.
• Strong strategic thinking, analytical, problem-solving, and project management skills.
• Ability to interpret complex regulations and translate them into business actions and operational requirements.
• Excellent verbal, written, and presentation skills, including the ability to communicate complex information to diverse audiences.
• Demonstrated ability to influence stakeholders across multiple functions and levels of the organization.
• Proven ability to adapt, learn quickly, and drive results in a changing environment.

Preferred Qualifications

• Bachelor's degree in Business, Healthcare Administration, Information Systems, or a related field.
• Experience managing Medicaid, Medicare, or other regulated market capabilities.
• Experience leading large-scale healthcare regulatory or compliance-related initiatives.
• Familiarity with industry standards organizations and regulatory environments.
• Advanced skills in Microsoft Excel, Microsoft Access, SQL, or related data analysis tools.
• Experience working within agile product development environments.