Senior Product Manager - Adjudication

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 core claims adjudication engine. This role is the backbone of our mission to disrupt the PBM industry, ensuring that every prescription claim is processed with precision and accuracy. You will leverage your deep expertise in NCPDP standards, real-time transaction processing, and pharmacy billing workflows to build and scale our tech-first platform that outpaces legacy PBM systems. As the product leader for claim routing and pricing logic, you will bridge the gap between complex clinical rules and high-performance engineering, guiding cross-functional teams to deliver a seamless, transparent experience for pharmacies, clients, and members. What you will do: Product Strategy Vision: Define and drive the multi-year product roadmap for the SmithRx claims adjudication platform, identifying opportunities to enhance processing speed, automation, and transparency while maintaining a highly flexible, cloud-native architecture. Adjudication Logic Standards: Serve as an internal product Subject Matter Expert (SME) on NCPDP Telecommunication Standards (D.0 and beyond). Translate complex benefit designs, coordination of benefits (COB), and real-time pricing models into scalable, automated logic. End-to-End Product Lifecycle: Lead the full product lifecycle for adjudication features—from initial requirement gathering through engineering sprints and quality assurance—ensuring that new logic deployments do not disrupt high-volume, real-time transaction flows. Cross-Functional Leadership: Partner closely with Engineering, Data Science, Implementation and Operations teams to write detailed technical user stories, manage the adjudication platform backlog, and ensure the engine scales to support complex clinical rules and custom client configurations. System Integrity Performance: Create ... (truncated, view full listing at source)