Product Manager, Revenue Cycle Management (Healthcare)

TL;DR

Product Manager, Revenue Cycle Management (Healthcare): Building and scaling systems for claims reconciliation, adjudication, and payment processing across a pharmacy network with an accent on backend financial infrastructure. Focus on ensuring transaction accuracy, solving complex payment lifecycle challenges, and optimizing claims ingestion and validation.

Location: Remote (USA)

Salary: $96,000 – $205,000

Company

hirify.global is the leading prescription savings platform in the U.S., providing access to affordable medications and healthcare research for millions of consumers.

What you will do

• Own and drive execution for product initiatives related to claims reconciliation, adjudication workflows, and payment processing systems.
• Partner with engineering, data, finance, and operations teams to deliver scalable solutions for transaction accuracy and financial reporting.
• Translate complex claims and payment lifecycle requirements into clear product requirements, user stories, and acceptance criteria.
• Support systems for claims ingestion, validation, adjudication logic, and reconciliation between pharmacy, PBM, and hirify.global systems.
• Analyze system performance and financial data to identify discrepancies, root causes, and optimization opportunities.
• Contribute to the product roadmap planning and prioritization within the RCM domain.

Requirements

• Bachelor’s degree.
• 2–5 years of experience in product management, product operations, or a related role.
• Experience working in healthcare, health tech, or pharmacy-related environments.
• Exposure to pharmacy claims processing, payment systems, or financial reconciliation workflows.
• Strong analytical and problem-solving skills for complex system interactions.
• Must be based in the USA.

Nice to have

• Experience with retail pharmacies, PBMs, or healthcare claims systems.
• Familiarity with claims adjudication processes and standards such as NCPDP and switch transactions.
• Understanding of financial systems, 835 ERA transactions, and ledger/reconciliation concepts.
• Experience with backend/platform products or APIs.
• Proficiency with SQL or similar data tools.

Culture & Benefits

• Comprehensive medical, dental, and vision insurance.
• 401(k) with company match and Employee Stock Purchase Plan (ESPP).
• Unlimited vacation, 13 paid holidays, and 72 hours of sick leave.
• Mental wellness, financial wellness, and fertility benefits.
• Generous parental leave and pet insurance.
• Inclusive community culture committed to diversity and empowerment.