V

Valenz

Data-driven healthcare platform for self-insured

Product Manager - Pharmacy

Full-Time
No salary listed
Mid, Senior
Bachelor's
Remote in USA
RemoteMust be based in the US.
ProductProduct Management

About the job

Requirements
  • At least 5 years of experience in Product Management, healthcare technology, pharmacy benefits, digital health, or a related healthcare field.
  • Experience defining product strategy, managing roadmaps, and leading cross-functional initiatives from concept through implementation and market adoption.
  • Experience working with healthcare products involving complex operational, clinical, technical, or regulatory requirements.
  • Experience in self-funded healthcare, pharmacy benefits, pharmacy benefit managers, specialty pharmacy, or pharmacy cost-management solutions.
  • Strong analytical and financial acumen, including experience evaluating product performance and developing business cases.
  • Ability to translate customer, market, and business needs into clear product priorities and scalable solutions.
  • Strong communication, presentation, collaboration, and stakeholder management skills.
  • Ability to work effectively across Product, Technology, Clinical, Operations, Data, Sales, Marketing, and client-facing teams.
  • Must be based in the United States in a location where the candidate can work effectively and comply with company policies such as HIPAA.
  • Must maintain a quiet workspace free from distractions and reliable internet access.
  • Must adhere to company security protocols, including VPN use, secure passwords, and company-approved devices and software.
Responsibilities
  • Own the vision, strategy, roadmap, and business objectives for the Pharmacy Solutions portfolio.
  • Identify pharmacy trends, market opportunities, regulatory developments, competitive activity, and customer needs that shape product strategy and investment priorities.
  • Bring the perspectives of employers, health plans, brokers, consultants, clinicians, and members into product development and roadmap decisions.
  • Translate product strategy into prioritized initiatives, product capabilities, minimum viable products, release plans, and phased delivery strategies.
  • Partner across Technology, Clinical, Data & Analytics, Pharmacy Operations, UX, and other teams to develop scalable solutions that deliver measurable clinical, financial, and customer value.
  • Lead strategic relationships with pharmacy partners, including pharmacy benefit managers, specialty pharmacy providers, clinical vendors, data providers, and technology partners.
  • Evaluate build-versus-buy opportunities, partnerships, and third-party solutions that strengthen and expand the Pharmacy Solutions portfolio.
  • Partner with Sales, Client Success, Marketing, and Implementation on product positioning, go-to-market strategy, sales enablement, deployment, adoption, and long-term value realization.
  • Serve as the internal subject matter expert for the Pharmacy Solutions portfolio, communicating product strategy, roadmap priorities, capabilities, and performance.
  • Define and monitor product performance across pharmacy savings, utilization, engagement, adoption, retention, financial performance, and clinical outcomes.
  • Use customer, product, clinical, and financial data to identify improvement opportunities and build business cases for new capabilities, partnerships, and investments.
  • Coordinate product readiness across technology, operations, implementation, partner enablement, go-to-market execution, and customer adoption.
  • Partner with Legal, Compliance, Clinical Leadership, and Information Security to ensure new capabilities, data use, artificial intelligence applications, and third-party partnerships meet applicable regulatory, privacy, security, and contractual requirements.
Desired Qualifications
  • A bachelor's degree in Business, Healthcare Administration, Pharmacy, Product Management, Health Informatics, or a related field.
  • Experience working with healthcare partners such as pharmacy benefit managers, third-party administrators, health plans, employers, brokers, consultants, or pharmacy vendors.
  • Knowledge of key pharmacy cost drivers, including benefit design, specialty medications, infusion therapy, pricing, rebates, and formulary management.
  • Experience using healthcare or pharmacy data to evaluate product performance and identify opportunities for improvement.

About the company

Valenz Health provides data-driven, tech-enabled healthcare services for self-insured employers, TPAs, payers, providers, and health plans across pre-claim to post-claim. Its platform unifies four legacy entities into one system and offers ValenzONE, a health plan optimizer; Valenz Bluebook for cost and quality transparency; Vālenz Claim for integrated claims repricing; and Vālenz Care for URAC-accredited population health management. It differentiates itself with an end-to-end, integrated platform that covers member experience, payment integrity, provider quality, and plan performance, built as a cohesive ecosystem rather than standalone tools. Its goal is to deliver meaningful employer savings, targeting about 7%-12% in savings, while improving care quality and payment integrity, supported by acquisitions and partnerships such as Healthcare Bluebook to create a comprehensive front-door experience for members.

Company Size

201-500

Company Stage

N/A

Total Funding

N/A

Headquarters

Phoenix, Arizona

Founded

2004

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Simplify Jobs

Simplify's Take

What believers are saying

  • Valenz launched Variable Copay in March 2026, targeting 7%-12% employer savings.
  • Valenz completed Healthcare Bluebook on August 27, 2026, expanding navigation reach.
  • Inc. 5000 recognition and fresh sales hires signal continuing demand and expansion.

What critics are saying

  • Bluebook integration in August 2026 distracts teams and delays promised platform synergies.
  • Vince Cole replaced Rob Gelb in June 2026, adding execution risk during integration.
  • Employers reject variable copays if savings disappoint, crushing ValenzONE adoption and weakening Kelso's thesis.

What makes Valenz unique

  • ValenzONE bundles navigation, claims, and payment integrity into one platform.
  • Valenz Bluebook maps 2,000 procedures to variable copays for employer plan design.
  • Kelso-backed Valenz combines Bluebook, care management, and provider selection across one workflow.

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Benefits

  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • 401(k) Company Match
  • Flexible Work Hours
  • Remote Work Options
  • Paid Vacation
  • Paid Sick Leave
  • Paid Holidays
  • Parental Leave
  • Pet Insurance
  • Employee Discounts

Growth & Insights and Company News

Headcount

6 month growth

0%

1 year growth

20%

2 year growth

19%
PR Newswire
Jun 1st, 2026
Vālenz Health appoints Vince Cole as CEO to accelerate growth

Vālenz Health has appointed Vince Cole as chief executive officer to accelerate growth and guide the company's expansion. Vālenz helps employers, insurers and members manage self-funded health plans through an integrated system focused on cost reduction and care quality. Cole brings over 30 years of healthcare and insurance leadership experience. He most recently served as CEO of Ontellus, the nation's largest medical and legal records retrieval business, and previously held CEO roles at Charles Taylor and Crawford & Company. Cole succeeds Rob Gelb, who will transition to non-executive chairman after leading Vālenz for seven and a half years through organic growth and eight acquisitions. The appointment follows a succession process aimed at positioning the company for its next growth phase. Vālenz is backed by private equity firm Kelso & Company.

PR Newswire
Mar 4th, 2026
Vālenz Health launches Variable Copay solution targeting 7–12% savings for employers

Vālenz Health has launched Variable Copay, a value-based health plan design that guides members towards high-value, low-cost care options. The solution uses the proprietary Valenz Bluebook price transparency platform to map over 2,000 medical procedures to predictable copays, targeting approximately 46% of medical spend with an estimated 7–12% overall savings for employers. Variable Copay is part of ValenzONE, the company's full-service health plan optimisation platform. The system combines dynamic copay design with proactive navigation, data-driven insights and integrated bundling solutions to support better outcomes and cost savings. The solution is currently available for integration with existing health plan networks as a standalone offering or as part of the comprehensive ValenzONE platform.

MyChesCo
Jul 31st, 2024
Valenz Health Acquires Healthcare Bluebook

Valenz Health has completed its acquisition of Healthcare Bluebook, merging their strengths to create a unified platform for healthcare cost and quality navigation. This integration aims to simplify healthcare, enhance member engagement, and improve payment integrity. Both companies will combine their data and functionality over time to offer better client services while maintaining current products and outcomes. Financial details of the acquisition were not disclosed.

GlobeNewswire
Sep 18th, 2023
Vālenz® Health Acquires Kisx Card, Llc, Enhancing Solutions For High-Cost Surgical And Imaging Procedures

PHOENIX, Ariz., Sept. 18, 2023 (GLOBE NEWSWIRE) -- Vālenz® Health announced today it has acquired KISx Card, LLC, a leader in providing self-funded plans with simplified member access to high-quality, direct-provider “non-network” solutions and care navigation for many high-spend surgical and imaging encounters.Expanding on the foundation of the Valenz Care Value Optimizer (CVO), the KISx Card company will become Vālenz® Health. Members who sign up for benefits and are eligible for surgical and imaging care will have access to care navigators who will facilitate their care and treatment with high-quality providers nationwide for procedures within general surgery, major imaging, colonoscopies and orthopedics.Valenz navigators leverage the CVO to identify the best available care options based on members’ income, location, benefits and healthcare need. Ultimately, the Valenz CVO keeps members in-network for the best possible care at the lowest cost, making it an excellent fit for integrating the member-centric services of KISx Card.“We are thrilled to bring KISx Card, their clients and their members into the growing Valenz family,” said Rob Gelb, Chief Executive Officer of Valenz. “This creates the opportunity to strengthen the Care Value Optimizer by offering seamless access to surgical and imaging services, along with concierge member navigation and scheduling support. Our customers will benefit from a transformative direction-of-care model supported by a unique blend of access points, surgical care/imaging bundles and charity care options, driving optimized experiences and significant savings.”After a nearly year-long partnership offering KISx Card services through the CVO, this is the fifth acquisition since May 2022 for Valenz, which was recently named to the annual Inc

PE Hub
Jun 22nd, 2023
Great Point Partners exits medical billing firm Valenz | PE Hub

TripleTree was the advisor on the transaction.