Program Manager, Solution Innovation

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The Product Manager – PSAO Audit and Compliance Solutions is responsible for end-to-end ownership of audit and compliance capabilities that support the PSAO solutions portfolio. Reporting to the Group Product Owner – PSAO Solutions, this role evolves traditional quality and compliance activities into a product-led capability with clear accountability for roadmap direction, feature prioritization, process enablement, adoption, and measurable business value. The role owns the Pharmacy Audit Support product and associated compliance workflows while also coordinating and tracking PSAO registration and licensure requirements and ensuring registrations and licensures are filed on time and compliantly. This role serves as a key partner to legal, compliance, operations, contracting, finance, and customer-facing teams to proactively identify and mitigate regulatory, audit, and payment-integrity risk while improving support for participating pharmacies and strengthening the broader PSAO offering.   Primary Duties and Responsibilities: Product Strategy, Vision, and Roadmap Ownership   Define and maintain the multi-year product vision, strategy, and roadmap for PSAO Audit and Compliance Solutions, including Pharmacy Audit Support, compliance workflows, registration and licensure tracking, policy enablement, and risk mitigation capabilities.   Translate the priorities of the Group Product Owner – PSAO Solutions into an outcome-focused roadmap that balances regulatory compliance, pharmacy support, operational efficiency, and business value.   Use customer insight, audit trends, regulatory change, operational feedback, and internal stakeholder input to identify unmet needs and prioritize product improvements and new capabilities.   Pharmacy Audit Support Product Ownership   Own the Pharmacy Audit Support product and associated features, processes, and enhancements that help pharmacies respond productively to payer and PBM audits.   Lead the design and continuous improvement of audit support workflows, reporting, case management, issue escalation, and related enablement tools.   Partner with internal teams and external stakeholders to improve audit outcomes, reduce avoidable recoupment exposure, and strengthen the value proposition of PSAO support services.   Leverage AI and technology to continually enhance the Pharmacy Audit Support offerings and drive efficiencies.   Compliance, Registration, and Licensure Management   Ensure PSAO offerings remain compliant with all applicable federal, state, and local laws, rules, regulations, and related obligations.   Coordinate and track PSAO registration and licensure requirements, maintain compliance calendars and documentation, and ensure registrations and licensures are filed accurately, on time, and in compliance with applicable requirements.   Monitor evolving regulatory and licensure requirements and drive timely updates to processes, product capabilities, controls, and stakeholder communications.   Facilitate policy and procedures updates resulting from evolving regulatory and licensure requirements .   Risk Monitoring, Audit Readiness, and Payment Integrity   Support the ongoing monitoring of participating pharmacies and providers for suspicious, fraudulent, or otherwise high-risk activity through analysis of internal and external data sources.   Collaborate with Central Pay, contracting, finance, and related teams to address holds, recoupments, terminations, change-of-ownership issues, and other payment-integrity or compliance-related risks.   Contribute to preventative and