Technical Product Owner with Domain knowledge and experience on Pharmacy Benefits / Formulary Management / PDL

Role : Technical Product Owner with Domain knowledge and experience on Pharmacy Benefits / Formulary Management / PDL

Remote EST/ CST

Sample attached .

--

Miru Experience Summary for the role of Technical Product Owner (TPO) :

Miru brings deep expertise in formulary management, benefit design, and PDL conversion across multiple PBM platforms (RxClaim, Argus, Caremark, Medco/ESI, etc.), and has:

• Led Preferred Drug List (PDL) conversions for Washington State Medicaid
• Managed Medicare formulary and benefits implementation at Catamaran (now OptumRx)
• Delivered HPMS submissions, custom formularies, ANOC documents, and PDL analysis
• Supported clinical teams and automated crosswalk tools between drug compendia (Medi-Span and FDB)
• Collaborated on Part D audit support and CMS compliance

Skilled in Healthcare Consulting, Pharmacy Benefits Management and Pharmacy Claims Processing for Medicare, Medicaid, and Health Exchanges. Strong consulting professional with a Bachelor of Science (BSc) focused in Pharmacy.

• She worked on a challenging pharmacy system implementation with the Washington Health Care Authority with the complex analysis necessary to migrate Washington s system between MediSpan and First Databank. She was highly capable, not only in her understanding of drug classification and management but also in eliciting client requirements and integrating those to offer solutions to meet the needs of all stakeholders.

Summary:

The Technical Product Owner (TPO) will oversee the development and delivery of healthcare products, particularly focused on Preferred Drug Lists (PDL). The TPO will translate business needs into technical solutions, ensuring quality, compliance, and effective implementation.

Experience:

7 to 10 years of Business analysis experience in Pharmacy domain

Minimum 5 years experience as a Product Owner or Technical Product Owner

At least 4 years of relevant experience with Preferred Drug Lists (PDL) or Formulary Management .

Proficiency in SQL.

Experience with formulary management .

4+ years of experience with Agile methodologies, especially SAFe or Scrum.

Roles & Responsibilities:

Define and clearly communicate product vision and strategy aligned with business and market needs.

Prioritize and manage the product backlog, ensuring teams deliver high-value features. Reviews, analyzes and evaluates data/systems business requirements for existing and new development.

Partner with business stakeholders to gather requirements and feedback.

Documents technical and business specifications and functional needs and modifies existing requirements

Facilitates technical meetings with IT and business project team.

Communicates with business stakeholders, clients, developers and other team members.

Guide technical Team on building PDL solutions covering overall business needs

Utilize expertise in PDL to guide product decisions and regulatory compliance.

Analyze drug utilization data to identify trends and inform product enhancements.

Generate and interpret reports related to drug utilization, compliance, and cost savings.

Ensure rigorous testing and validation of products to maintain high quality standards.

Tests development efforts and assists clients in user acceptance testing

Define work to be accomplished and associated acceptance criteria to provide scalable solutions for PDL business needs

Qualification & Experience:

• 7 to 10 years of Business analysis experience in Pharmacy domain
• Minimum 5 years experience as a Product Owner or Technical Product Owner
• At least 4 years of relevant experience with Preferred Drug Lists (PDL) or Pharmacy Benefits Management.

Must Formulary Management Experience

• Proficiency in SQL.
• Experience with formulary management a definite plus
• 4+ years of experience with Agile methodologies, especially SAFe or Scrum.

Technical Skills:

• Business analysis experience in Pharmacy domain
• Experience with Preferred Drug Lists (PDL) or Pharmacy Benefits Management.
• Proficiency in SQL.
• Agile methodologies, especially SAFe or Scrum.