Prescryptive Health, Inc.

Let's Rewrite the Script

Principal TPM – PBM Benefit Data Integrations

Technical Product ManagerTechnical Product ManagerFull TimeRemoteTeam 201-500Since 2017Company SiteLinkedIn

Location

Virginia + 4 moreAll locations: Virginia, Washington, West Virginia, Wisconsin, Wyoming

Posted

10 days ago

Salary

$148K - $205K / year

Bachelor Degree10 yrs expEnglishAzureCloudETLJavaJava ScriptPythonSQL

Job Description

• Own end-to-end delivery of PBM benefit data integration initiatives impacting claims, eligibility, accumulators, and related platforms. • Identify, assess, and manage program risks, including coordinating root-cause remediation efforts in partnership with engineering and operations teams. • Drive cross-functional alignment on technical and operational requirements to ensure scalable, compliant integration design. • Design and validate scalable solution architectures supporting claim processing, eligibility, accumulators, and reporting. • Partner cross-functionally with business stakeholders, internal development teams, and external vendors to improve systems, workflows, and data accuracy. • Own delivery timelines, milestone tracking, and executive-level reporting for benefit data integration initiatives. • Coordinate implementation readiness including rollback planning, validation artifacts, and post-deployment support models. • Ensure adherence to security standards, data governance practices, and operational policies. • Drive implementation validation including testing, rollback planning, data migration, and post-install support.

Job Requirements

  • Bachelor’s degree in Statistics, Mathematics, Engineering, Computer Science, Business Analytics, or related quantitative field (required).
  • 10+ years of progressive experience in healthcare analytics, PBM operations, data integration, or business systems analysis (required).
  • Experience within a PBM or healthcare claims processing environment (required).
  • Deep expertise in PBM benefit configuration, adjudication logic, eligibility, and accumulator integrations.
  • Advanced proficiency in SQL (advanced querying and data investigation)
  • Experience managing delivery timelines, risks, dependencies, and remediation coordination.
  • Working knowledge of ANSI/NCPDP Telecommunication Standard
  • Working understanding of PBM or TPA claim processing
  • Experience with data ETL processes and file delivery mechanisms (SFTP, PGP)
  • Experience with job scheduling automation and alerting tools
  • Microsoft Azure cloud experience, including blob storage
  • Familiarity with C#, Java, JavaScript, Python, or R preferred
  • Integration testing and UAT coordination experience

Benefits

  • Flexible time off, including 12 paid holidays
  • 401k match plus 100% employer paid medical, dental, and vision
  • Company contribution to Health Savings Account
  • Stock options

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