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Location: New York, NY - Hybrid (Local to NYC area only)

Position Summary:

Capital Rx is seeking a Product Manager to lead enterprise-wide AI initiatives within JUDI, our next-generation pharmacy benefits administration platform. This role will drive the strategic development and implementation of AI-driven solutions across multiple functional areas, optimizing workflow automation, prior authorizations, call center efficiency, and predictive analytics.

We are looking for a data-driven, AI-focused product manager with a strong background in healthcare technology and PBM operations. The ideal candidate will have experience deploying AI solutions at scale, particularly in call center automation, prior authorizations, and clinical decision support. This is a unique opportunity to work at the intersection of healthcare, artificial intelligence, and product innovation, delivering AI-powered solutions that improve efficiency, accuracy, and member experience.

Position Responsibilities:

• Lead AI strategy and execution within JUDI, focusing on automation, efficiency, and predictive capabilities
• Develop and enhance AI-driven solutions for call center operations, prior authorization workflows, and clinical decision-making
• Work closely with data scientists, engineers, UX designers, and business stakeholders to build scalable AI models and integrations
• Analyze claims, member interactions, and clinical data to identify automation opportunities and enhance decision support tools
• Partner with legal, compliance, and regulatory teams to align AI solutions with industry regulations and ethical best practices
• Ensure seamless AI implementation across JUDI’s claims adjudication, customer service, and clinical workflows
• Oversee backlog refinement, sprint planning, and scrum ceremonies to maintain an efficient AI product development cycle
• Present roadmap updates, AI impact metrics, and implementation progress to leadership and internal teams
• Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance

Minimum Qualifications:

• Bachelor’s degree in a relevant field such as Computer Science, Data Science, Business, or Healthcare

• 3+ years of experience in Product Management within PBM, healthcare technology, or health plans
• Experience developing and scaling AI-driven products, preferably in call center automation, prior authorizations, or healthcare decision support
• Strong analytical skills, with the ability to leverage AI, machine learning, and predictive analytics to inform product decisions
• Proven ability to work with data scientists and engineers, translating business needs into AI-driven solutions
• Excellent communication and collaboration skills, capable of bridging technical and non-technical teams
• Familiarity with Agile methodologies and experience leading AI initiatives in an iterative, fast-paced environment
• Experience with AI technologies, including natural language processing (NLP), machine learning models, and workflow automation tools is a plus
• Knowledge of regulatory considerations around AI in healthcare, such as HIPAA and CMS regulations, is preferred

Base Salary: $120,000 - $135,000

Visa Sponsorship: Capital Rx does not provide sponsorship to any candidates. This includes, but is not limited to those that require H1-B, TN, OPT, etc. Candidates must have authorization to work in the US at the time of application and throughout employment.

Nothing in this position description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.

About Capital Rx

Capital Rx is a full-service pharmacy benefit manager (PBM) and pharmacy benefit administrator (PBA), advancing our nation’s electronic healthcare infrastructure to improve drug price visibility and patient outcomes. As a Certified B Corp™, Capital Rx is executing its mission through the deployment of JUDI®, the company’s cloud-native enterprise health platform, and a Single-Ledger Model™, which increases visibility and reduces variability in drug prices. JUDI connects every aspect of the pharmacy ecosystem in one efficient, scalable platform, servicing millions of members for Medicare, Medicaid, and commercial plans. Together with its clients, Capital Rx is reimagining the administration of pharmacy benefits and rebuilding trust in healthcare.

Capital Rx values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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