Product Manager, Specialty Pharmacy

About the role:
We’re seeking a Product Manager to lead our specialty pharmacy authorization initiatives. You will own the strategy and execution for how providers submit, track, and manage prior authorizations for specialty medications. Your work will streamline how providers secure timely approvals, directly impacting patient access to life-saving therapies.

What you’ll do:

• Map pharmacy workflows: engage with specialty pharmacies, providers, and payers to understand how prior authorization requests are initiated, submitted, and followed through across medical and pharmacy benefits.

• Design better submissions: build solutions that enable electronic prior authorization, reducing faxing, phone calls, and duplicate entry.

• Integrate clinical documentation: partner with teams to ensure that authorization requests include the correct clinical notes, lab values, and patient attestation.

• Shape the roadmap: translate payer rules, requirements, and customer feedback into a clear product vision for how pharmacies handle complex therapies.

• Drive adoption: lead features from ideation to rollout, ensuring providers see measurable improvements in speed-to-therapy and approval rates.
  

Who you are:

• 3+ years in product management, ideally in healthcare technology, specialty pharmacy, or pharmacy benefit management.

• Customer-first mindset: able to translate payer and PBM complexity into clear workflows.

• Technical fluency: comfortable with NCPDP SCRIPT, X12 278, FHIR, payer portals, and hub integrations.

• Strong communicator: align engineers, pharmacies, and payer stakeholders on shared goals.

• Data-driven and proactive: track metrics like time-to-approval, submission success rates, and patient access to guide priorities.

Bonus points:

• Experience with specialty pharmacy operations, PBM systems, or payer prior authorization platforms.

• Familiarity with Epic and third-party pharmacy management systems.

Why this role matters:

Specialty medications are often life-saving but face delays due to administrative barriers. By improving how providers submit and manage prior authorizations, you’ll reduce patient wait times, cut administrative waste, and support providers in getting patients on therapy faster.

If you’re excited about building the future of pharmacy authorization workflows, we’d love to hear from you.

🚀 Why Join Humata Health?

• Impactful Work: Contribute to innovative solutions that improve healthcare efficiency and patient outcomes

• Remote Flexibility: Enjoy working remotely while being part of a collaborative team, with access to our new office in Winter Park, FL

• Competitive Compensation: Enjoy competitive base compensation, equity through our Employee Stock Option Plan, and bonus-eligible roles

• Comprehensive Benefits: Full benefits package including unlimited PTO and 401k program with employer match

• Growth Opportunities: Advance your career in a fast-paced, high-impact environment with ample professional development

• Inclusive Culture: Join a diverse workplace where your ideas and contributions are valued

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Pay Transparency

Humata Health will provide pay transparency information upon application to those in qualifying jurisdictions.

Our salary ranges are based on competitive pay for our company’s size and industry. They are one part of the total compensation package that may also include equity, variable compensation, and benefits.  Individual pay decisions are ultimately based on several factors, including qualifications, experience level, skillset, geography, and balancing internal equity.

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Humata Health is proud to be an equal-opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, age, sex, marital status, ancestry, neurotype, physical or mental disability, veteran status, gender identity, sexual orientation or any other category protected by law.

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Join us in our mission to transform healthcare while building a life that works in harmony both in and outside the office.