Senior Product Manager - Medicare & EGWP at SmithRx

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Full Time

Start Date

Immediate

Expiry Date

24 Feb, 26

Salary

0.0

Posted On

26 Nov, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Product Management, Medicare Part D, EGWP, Healthcare Technology, Regulatory Compliance, Cross-Functional Collaboration, Analytical Skills, Agile Methodology, Market Research, Financial Modeling, Client Engagement, Communication Skills, Strategic Planning, Operational Efficiency, Innovation, Customer Experience

Industry

Hospitals and Health Care

Description

Who We Are: SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisition platform driven by cutting edge technology, innovative cost saving tools, and best-in-class customer service. With hundreds of thousands of members onboarded since 2016, SmithRx has a solution that is resonating with clients all across the country. We pride ourselves for our mission-driven and collaborative culture that inspires our employees to do their best work. We believe that the U.S healthcare system is in need of transformation, and we come to work each day dedicated to making that change a reality. At our core, we are guided by our company values: Integrity: Our purpose guides our actions and gives us confidence in the path ahead. With unwavering honesty and dependability, we embrace the pressure of challenging the old and exemplify ethical leadership to create the new. Courage: We face continuous challenges with grit and resilience. We embrace the discomfort of the unknown by balancing autonomy with empathy, and ownership with vulnerability. We boldly challenge the status quo to keep moving forward—always. Together: The success of SmithRx reflects the strength of our partnerships and the commitment of our team. Our shared values bind us together and make us one. When one falls, we all fall; when one rises, we all rise. Job Summary: The Product and Engineering team at SmithRx is developing the next-generation modern pharmacy benefits management (PBM) platform that will change how companies administer and manage pharmacy benefits. Our unified technology platform provides real-time actionable insights that drive cost savings, power clinical services, and result in a brilliant customer experience. A unified technology platform exists nowhere else in the pharmacy benefit ecosystem to programmatically solve widespread deficiencies. SmithRx delivers unmatched service quality and operational efficiencies that exceed all industry standards. As a Senior Product Manager, you will own the vision, strategy and execution of our Medicare part D and Employer Group Waiver Plan (EGWP) product line. This role is essential to our mission of driving innovation in the modern PBM landscape and will help ensure that our offerings are competitive, compliant and deliver optimal value to our clients and their members. In this role, you will utilize your deep understanding of CMS regulations, the dynamics of the retiree health market and the ability to translate complex regulatory and market requirements into scalable, tech-driven product solutions. You will be the primary subject matter expert at SmithRx guiding cross-functional teams and senior leadership to navigate the evolving Part D landscape. What you will do: Product Strategy & Vision: 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. Regulatory Compliance & Product Design: 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). End-to-End Product Lifecycle: Lead the full product lifecycle from ideation and market research through development, launch, performance tracking, and continuous optimization, leveraging an Agile methodology. Cross-Functional Leadership: 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. Market and Financial Analysis: 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. Client & Stakeholder Engagement: Present product strategies, compliance updates, and performance results to internal leadership, client-facing teams, and potentially external clients, influencing decision-making and driving adoption. What you will bring to SmithRx: 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. Advanced degree (MBA, MHA) or relevant certifications are a plus. Why This Role is Exciting!: Innovate at Scale – Drive the next wave of innovation in pharmacy benefits with the potential to impact millions of seniors and the financial stability of our clients. High-Impact Domain and Ownership – You’ll directly shape how SmithRx is able to support new markets and product lines in a highly complex, strategically important and impactful space. Strategic Seat at the Table – As the primary SME for EGWP/Part D, you won't just execute; you will set the strategy. You will directly advise senior leadership on the competitive landscape, regulatory risks, and future product investments. Collaborate Across the Organization – Partner with cross-functional teams to understand and deliver valuable solutions. Grow With Us – As SmithRx scales, so will the scope and product leadership opportunities. What SmithRx Offers You: 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 12 Paid Holidays Wellness Benefits Commuter Benefits Paid Parental Leave benefits Employee Assistance Program (EAP) Well-stocked kitchen in office locations Professional development and training opportunities

Responsibilities

As a Senior Product Manager, you will own the vision, strategy, and execution of our Medicare Part D and EGWP product line. You will lead the full product lifecycle from ideation through development and ensure compliance with CMS regulations.