• 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. • 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. • 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. • 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. • Create, monitor and optimize key performance indicators (KPIs) related to claim success rates, latency, and financial accuracy. Develop robust testing frameworks to ensure that pricing logic and eligibility checks are 100% accurate at the point of sale. • Collaborate with internal Operations and Clinical teams to streamline manual overrides, exception handling and other processes. Support engagement with external partners, such as switch vendors and PSAOs, to resolve routing issues and improve the pharmacy provider experience. • Ensure the adjudication engine is built to support evolving industry requirements; prior experience working with EGWP guidelines, Medicare Part D compliance, or OIG/CMS reporting standards is a significant plus to ensure our platform remains competitive.