We are seeking a highly experienced RxCLAIM Product Owner to lead the product vision roadmap and delivery for enterprise PBM solutions. The ideal candidate will have deep hands-on expertise in RxCLAIM strong exposure to other PBM platforms and a proven ability to work with business clinical and technology stakeholders to deliver scalable compliant and high-performing pharmacy solutions.
This role requires strong domain knowledge strategic thinking and the ability to translate complex PBM requirements into actionable product backlogs while driving continuous value delivery.
Qualifications :
- 10 years of experience in RxCLAIM or any other Pharmacy Benefit Management (PBM) systems
Product Ownership
- Own and drive the product vision roadmap and backlog for RxCLAIM-based solutions
- Align product strategy with PBM business goals regulatory requirements and client needs
- Define and prioritize features enhancements and technical initiatives based on business value
RxCLAIM & PBM Domain Accountability
- Act as subject matter expert (SME) for RxCLAIM modules including:
- Claims adjudication
- Plan setup & benefit configuration
- Pricing accumulators and edits
- Prior authorization & DUR
- Eligibility formularies and networks
- Leverage experience with other PBM systems (e.g. MedImpact Argus custom PBM platforms) to drive best practices and comparative insights
- Support integrations with downstream and upstream systems (eligibility providers pharmacies rebate systems data warehouses)
Agile Delivery & Stakeholder Management
- Serve as Product Owner in Agile/Scrum teams owning user stories acceptance criteria and backlog grooming
- Work closely with architects developers QA and DevOps teams to ensure high-quality delivery
- Collaborate with business stakeholders clients operations and compliance teams
- Participate in PI planning sprint planning demos and retrospectives
Compliance & Quality
- Ensure solutions comply with CMS HIPAA Medicaid/Medicare and state-specific regulations
- Partner with compliance and audit teams during regulatory changes and implementations
- Drive data accuracy performance and scalability across PBM solutions
Continuous Improvement
- Analyze production issues client feedback and operational metrics to identify improvement opportunities
- Support modernization initiatives such as cloud migration automation and API enablement
- Mentor junior product owners and business analysts in PBM and RxCLAIM best practices
Additional Information :
Discover some of the global benefits that empower our people to become the best version of themselves:
- Finance: Competitive salary package share plan company performance bonuses value-based recognition awards referral bonus;
- Career Development: Career coaching global career opportunities non-linear career paths internal development programmes for management and technical leadership;
- Learning Opportunities: Complex projects rotations internal tech communities training certifications coaching online learning platforms subscriptions pass-it-on sessions workshops conferences;
- Work-Life Balance: Hybrid work and flexible working hours employee assistance programme;
- Health: Global internal wellbeing programme access to wellbeing apps;
- Community: Global internal tech communities hobby clubs and interest groups inclusion and diversity programmes events and celebrations.
Additional Employee Requirements
- Participation in both internal meetings and external meetings via video calls as necessary.
- Ability to go into corporate or client offices to work onsite as necessary.
- Prolonged periods of remaining stationary at a desk and working on a computer as necessary.
- Ability to bend kneel crouch and reach overhead as necessary.
- Hand-eye coordination necessary to operate computers and various pieces of office equipment as necessary.
- Vision abilities including close vision toleration of fluorescent lighting and adjusting focus as necessary.
- For positions that require business travel and/or event attendance ability to lift 25 lbs as necessary.
- For positions that require business travel and/or event attendance a valid drivers license and acceptable driving record are required as driving is an essential job function.
*If requested reasonable accommodations will be made to enable employees requiring accommodations to perform the essential functions of their jobs absent undue hardship.
USA Benefits (Full time roles only does not apply to contractor positions)
- Robust healthcare and benefits including Medical Dental vision Disability coverage and various other benefit options
- Flexible Spending Accounts (Medical Transit and Dependent Care)
- Employer Paid Life Insurance and AD&D Coverages
- Health Savings account paired with our low-cost High Deductible Medical Plan
- 401(k) Safe Harbor Retirement plan with employer match with immediately vest
At Endava were committed to creating an open inclusive and respectful environment where everyone feels safe valued and empowered to be their best. We welcome applications from people of all backgrounds experiences and perspectivesbecause we know that inclusive teams help us deliver smarter more innovative solutions for our customers. Hiring decisions are based on merit skills qualifications and potential. If you need adjustments or support during the recruitment process please let us know.
Remote Work :
Yes
Employment Type :
Contract
We are seeking a highly experienced RxCLAIM Product Owner to lead the product vision roadmap and delivery for enterprise PBM solutions. The ideal candidate will have deep hands-on expertise in RxCLAIM strong exposure to other PBM platforms and a proven ability to work with business clinical and tech...
We are seeking a highly experienced RxCLAIM Product Owner to lead the product vision roadmap and delivery for enterprise PBM solutions. The ideal candidate will have deep hands-on expertise in RxCLAIM strong exposure to other PBM platforms and a proven ability to work with business clinical and technology stakeholders to deliver scalable compliant and high-performing pharmacy solutions.
This role requires strong domain knowledge strategic thinking and the ability to translate complex PBM requirements into actionable product backlogs while driving continuous value delivery.
Qualifications :
- 10 years of experience in RxCLAIM or any other Pharmacy Benefit Management (PBM) systems
Product Ownership
- Own and drive the product vision roadmap and backlog for RxCLAIM-based solutions
- Align product strategy with PBM business goals regulatory requirements and client needs
- Define and prioritize features enhancements and technical initiatives based on business value
RxCLAIM & PBM Domain Accountability
- Act as subject matter expert (SME) for RxCLAIM modules including:
- Claims adjudication
- Plan setup & benefit configuration
- Pricing accumulators and edits
- Prior authorization & DUR
- Eligibility formularies and networks
- Leverage experience with other PBM systems (e.g. MedImpact Argus custom PBM platforms) to drive best practices and comparative insights
- Support integrations with downstream and upstream systems (eligibility providers pharmacies rebate systems data warehouses)
Agile Delivery & Stakeholder Management
- Serve as Product Owner in Agile/Scrum teams owning user stories acceptance criteria and backlog grooming
- Work closely with architects developers QA and DevOps teams to ensure high-quality delivery
- Collaborate with business stakeholders clients operations and compliance teams
- Participate in PI planning sprint planning demos and retrospectives
Compliance & Quality
- Ensure solutions comply with CMS HIPAA Medicaid/Medicare and state-specific regulations
- Partner with compliance and audit teams during regulatory changes and implementations
- Drive data accuracy performance and scalability across PBM solutions
Continuous Improvement
- Analyze production issues client feedback and operational metrics to identify improvement opportunities
- Support modernization initiatives such as cloud migration automation and API enablement
- Mentor junior product owners and business analysts in PBM and RxCLAIM best practices
Additional Information :
Discover some of the global benefits that empower our people to become the best version of themselves:
- Finance: Competitive salary package share plan company performance bonuses value-based recognition awards referral bonus;
- Career Development: Career coaching global career opportunities non-linear career paths internal development programmes for management and technical leadership;
- Learning Opportunities: Complex projects rotations internal tech communities training certifications coaching online learning platforms subscriptions pass-it-on sessions workshops conferences;
- Work-Life Balance: Hybrid work and flexible working hours employee assistance programme;
- Health: Global internal wellbeing programme access to wellbeing apps;
- Community: Global internal tech communities hobby clubs and interest groups inclusion and diversity programmes events and celebrations.
Additional Employee Requirements
- Participation in both internal meetings and external meetings via video calls as necessary.
- Ability to go into corporate or client offices to work onsite as necessary.
- Prolonged periods of remaining stationary at a desk and working on a computer as necessary.
- Ability to bend kneel crouch and reach overhead as necessary.
- Hand-eye coordination necessary to operate computers and various pieces of office equipment as necessary.
- Vision abilities including close vision toleration of fluorescent lighting and adjusting focus as necessary.
- For positions that require business travel and/or event attendance ability to lift 25 lbs as necessary.
- For positions that require business travel and/or event attendance a valid drivers license and acceptable driving record are required as driving is an essential job function.
*If requested reasonable accommodations will be made to enable employees requiring accommodations to perform the essential functions of their jobs absent undue hardship.
USA Benefits (Full time roles only does not apply to contractor positions)
- Robust healthcare and benefits including Medical Dental vision Disability coverage and various other benefit options
- Flexible Spending Accounts (Medical Transit and Dependent Care)
- Employer Paid Life Insurance and AD&D Coverages
- Health Savings account paired with our low-cost High Deductible Medical Plan
- 401(k) Safe Harbor Retirement plan with employer match with immediately vest
At Endava were committed to creating an open inclusive and respectful environment where everyone feels safe valued and empowered to be their best. We welcome applications from people of all backgrounds experiences and perspectivesbecause we know that inclusive teams help us deliver smarter more innovative solutions for our customers. Hiring decisions are based on merit skills qualifications and potential. If you need adjustments or support during the recruitment process please let us know.
Remote Work :
Yes
Employment Type :
Contract
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