Senior Product Manager, Clinical Risk

Location: Remote (EST/CST preferred) NYC area encouraged

About the Role

Were seeking a strategic yet hands-on Product Manager to create a wholly new set of products at Rightway: the tools that help us forecast monitor and mitigate PBM contractual guarantee risk.

Rightways PBM business model includes contractual guarantees that an employer population will only spend X dollars on medications in a given year. When spend exceeds that level Rightway may be responsible for paying back a portion of our PMPM fees. This role will build the internal products and data foundations that enable our teams to identify risk earlier pinpoint the key drivers of overages and equip clinical teams with actionable insights to intervene improving member outcomes while reducing avoidable financial leakage.

In the first 6 months youll focus on building a monitoring and risk identification system that:

• identifies employer customers trending toward overages
• surfaces the members driving spend
• highlights clinically appropriate medication alternatives and intervention opportunities

Youll work closely with our Financial Risk team partner with clinical outreach teams and lead a cross-functional squad that includes application engineers data engineers and analysts with design support as needed.

What Youll Do

Product Strategy & Vision

• Own the product vision and roadmap for Rightways Clinical Risk & Engagement product suite balancing near-term delivery (monitoring identification) with a longer-term path to proactive and automated engagement.
• Define the end-to-end risk to action workflow across teams: forecast detect risk explain drivers prioritize opportunities enable outreach measure impact.

Build Risk Monitoring Driver Identification (First 6 Months)

• Build tools that reduce or replace manual analysis by enabling:
• automated monitoring of employer populations against contractual guarantee thresholds
• trend detection using contract rules and claims-based spend
• clear views into what changed and why were trending over
• Create dashboard-style experiences to identify and understand the members driving spend enabling rapid drill-down from customer cohort member.

Create Actionable Clinical Insights (Chase Lists)

• Partner with clinical teams to develop a high-signal workflow that supports outreach and behavior change including:
• a prioritized ranked chase list of members based on estimated intervention value
• member context (condition medication usage) and clinically appropriate alternatives
• clear explanations that help clinical teams act confidently and consistently
• Ensure outputs are practical for real outreach operations (not just analytics) and iterate with fast feedback loops.

Data Modeling Foundations

• Partner with Data Engineering and Analytics teams to define the models and datasets that power these products leveraging:
• Rx claims medical claims
• demographics (age sex)
• member-provided information (health profile submissions)
• Set standards for usability and trust: timeliness data quality explainability and auditability (especially where contract rules and dollars are involved).
• Explore opportunities to incorporate AI/ML where it improves model quality and prioritization without sacrificing interpretability and reliability.

Execution & Delivery

• Translate business needs into detailed requirements user stories acceptance criteria and success metrics.
• Lead discovery with financial risk and clinical partners; align stakeholders around scope sequencing and tradeoffs.
• Manage a prioritized backlog across application engineering and data teams; ship iteratively and improve based on adoption and outcomes.

Who You Are

Required Experience

• 3 years of product management experience delivering complex cross-functional products.
• Strong comfort working with data-heavy systems (dashboards internal tools analytics products forecasting/monitoring).
• Proven ability to turn ambiguous workflows into shipped software that changes how teams operate.
• Experience partnering closely with engineering data engineering and analysts to define models instrumentation and reliable reporting.
• Ability to communicate clearly with technical and non-technical stakeholders and align them around measurable outcomes.

Preferred Experience

• Experience bringing a product from 0 to 1 from the beginning of ideation through launch support.
• Experience in healthcare PBM claims analytics or clinical data.
• Experience with financial risk products (forecasting monitoring guarantees margin protection unit economics).
• Exposure to AI/ML concepts (predictive modeling ranking propensity explainability) and using them responsibly in production products.

Traits That Set You Apart

• A systems thinker who can simplify complexity and build products people actually use.
• A pragmatic builder who delivers thin slices learns fast and iterates toward a durable platform.
• An owner who takes accountability for outcomes especially when the metric is dollars.
• A trusted partner who can bridge finance clinical and technical teams.

SALARY (BEFORE COMMISSION POTENTIAL): $140000 - $160000

Offer amounts for both remote and in office roles are influenced by geographic location.

CYBERSECURITY AWARENESS NOTICE

In response to ongoing and industry-wide fraudulent recruitment activities (i.e. job scams) Rightway wants to inform potential candidates that we will only contact them from the @ email domain. We will never ask for bank details or deposits of any kind as a condition of employment.

ABOUT RIGHTWAY:

Rightway is on a mission to harmonize healthcare for everyone everywhere. Our products guide patients to the best care and medications by inserting clinicians and pharmacists into a patients care journey through a modern mobile app. Rightway is a front door to healthcare giving patients the tools they need along with on-demand access to Rightway health guides human experts that answer their questions and manage the frustrating parts of healthcare for them.

Since its founding in 2017 Rightway has raised over $205mm from investors including Khosla Ventures Thrive Capital and Tiger Global. Were headquartered in New York City with satellite offices in Denver and Dallas. Our clients rely on us to transform the healthcare experience improve outcomes for their teams and decrease their healthcare costs.

HOW WE LIVE OUR VALUES TO OUR TEAMMATES:

Were seeking those with passion for healthcare and relentless devotion to our goal. We need team members that embody our following core values:

1) We are human first
Our humanity binds us together. We bring the same empathetic approach to every individual we engage with whether it be our members our clients or each other. We are all worthy of respect and understanding and we engage in our interactions with care and intention. We honor our stories. We listen toand heareach other we celebrate our differences and similarities we are present for each other and we strive for mutual understanding.

2) We redefine what is possible
We always look beyond the obstacles in front of us to imagine new solutions. We approach our work with inspiration from other industries other leaders and other challenges. We use ingenuity and resourcefulness when faced with tough problems.

3) We debate then commit
We believe that a spirit of open discourse is part of a healthy culture. We understand and appreciate different perspectives and we challenge our assumptions. When working toward a decision or a new solution we actively listen to one another approach it with a yes and mentality and assume positive intent. Once a decision is made we align and champion it as one team.

4) We cultivate grit
Changing healthcare doesnt happen overnight. We reflect and learn from challenges and approach the future with a determination to strive for the face of daunting situations we value persistence. We embrace failure as a stepping stone to future success. On this journey we seek to act with guts resilience initiative and tenacity.

5) We seek to delight
Healthcare is complicated and personal. We work tirelessly to meet the goals of our clients while also delivering the best experience to our members. We recognize that no matter the role or team we each play a crucial part in our members care and take that responsibility seriously. When faced with an obstacle we are kind respectful and solution-oriented in our approach. We hold ourselves accountable to our clients and our members success.

Rightway is Proudly an Equal Opportunity Employer that believes in strength in the diversity of thought processes beliefs background and education and fosters an inclusive culture where differences are celebrated to drive the best business decisions possible. We do not discriminate on any basis covered by appropriate law. All employment is decided on the consideration of merit qualifications need and performance.