SmithRx · 1 month ago
Senior Product Manager - Medicare & EGWP
United States
Full-time
Remote
Senior Level
5+ years expSmithRx is a rapidly growing, venture-backed Health-Tech company aiming to transform the Pharmacy Benefit Management sector. As a Senior Product Manager, you will own the vision and execution of the Medicare Part D and Employer Group Waiver Plan product line, ensuring compliance and delivering value to clients through innovative product solutions.
Health CareInformation TechnologyPharmaceutical
Responsibilities
Define and drive the multi-year product roadmap for the company's Medicare Part D and EGWP offerings, identifying key opportunities for differentiation, cost management, and member experience improvement
Serve as the internal Subject Matter Expert (SME) on CMS Part D and EGWP rules, including annual bid processes, benefit design (e.g., Coverage Gap and Catastrophic phases), compliance requirements, and recent changes (e.g., IRA impacts like the $2,000 Out-of-Pocket Cap)
Lead the full product lifecycle from ideation and market research through development, launch, performance tracking, and continuous optimization, leveraging an Agile methodology
Collaborate with stakeholders across Engineering, Design, Operations, Clinical, Finance, Legal, and Compliance teams to define detailed product requirements (user stories), manage the product backlog, and ensure seamless delivery and operational readiness
Conduct competitive analysis and build robust business cases, including financial modeling and KPI definition, to justify product investments and optimize product positioning, pricing, and profitability
Present product strategies, compliance updates, and performance results to internal leadership, client-facing teams, and potentially external clients, influencing decision-making and driving adoption
Qualification
Required
5+ years of progressive experience in Product Management or related domain, with a minimum of 3 years dedicated to Medicare Part D, EGWP, or Managed Care products within the PBM, Health Plan, or Healthcare Technology space
Expert-level knowledge of Medicare Part D benefit structure, the regulatory environment (including CMS guidance), and the operational nuances of Employer Group Waiver Plans (EGWP)
Proven ability to lead cross-functional collaboration across engineering, operations, and design to deliver high-impact solutions
Strong analytical skills with experience leveraging AI tools for efficiency
Ability to prioritize and deliver in a fast-paced, cross-functional environment
Excellent communication skills, with the ability to translate technical concepts into business impact for diverse audiences
Bachelor's degree in Business, Healthcare Administration, or a related field
Preferred
Advanced degree (MBA, MHA) or relevant certifications are a plus
Benefits
Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and AD&D Insurance
Flexible Spending Benefits
401(k) Retirement Savings Program
Short-term and long-term disability
Discretionary Paid Time Off
Paid Company Holidays
Wellness Benefits
Commuter Benefits
Paid Parental Leave benefits
Employee Assistance Program (EAP)
Well-stocked kitchen in office locations
Professional development and training opportunities
Company
SmithRx
SmithRx is reinventing PBMs with modern technology, client alignment, and 100% transparency.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
$104.66MKey Investors
VenrockFounders Fund
2024-01-23Series C· $60M
2022-03-10Series B· $27.16M
2021-01-03Series A
Leadership Team
Alexandra Morrison
Talent Acquisition Partner
Bryan Fowler
Partner Relationship Manager
Recent News
Seattle TechFlash
2025-07-26
2025-05-17
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