Product Manager, Payment Accuracy

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🕒 4 dias atrás

🦌 Connecticut – Remoto

🦌 Connecticut – Remote

💵 $101.970 - $203.940 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

✅ Gerente de Produto

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CVS Health

SiteLinkedInTodas as Vagas

10.000+ funcionários

Fundada em 1963

⚕️ Seguro de Saúde

🛒 Varejo

🧘 Bem-estar

Healthcare Insurance • Retail • Wellness

CVS Health é uma empresa líder de saúde nos Estados Unidos, dedicada a ampliar o acesso e a acessibilidade ao cuidado. A empresa adota uma abordagem abrangente que inclui serviços de saúde, seguro saúde e gestão de benefícios farmacêuticos (PBM). Por meio de suas subsidiárias, como Aetna e CVS Caremark, a CVS Health oferece uma variedade de serviços que promovem o bem-estar, a gestão de condições de saúde e a cobertura acessível de medicamentos prescritos. A CVS Health opera farmácias de bairro, oferece serviços de farmácia por correspondência e gerencia programas de medicamentos de especialidade, com o objetivo de tornar o cuidado com a saúde conveniente e acessível para todos. Movida pela missão de conectar pessoas a serviços essenciais de cuidado, a CVS Health está comprometida em fomentar comunidades mais saudáveis e apoiar o bem-estar de todas as pessoas.

Descrição

• Own the end-to-end lifecycle of analytics-driven products focused on identifying and reducing medical overpayments • Partner closely with Data Science, Data Engineering, and Claims SMEs to translate complex business problems into scalable product solutions • Understand and know the roadmap and overall product strategy • Own product vision, roadmap, and measurable outcomes (MCS, precision, ROI) • Translate claims/payment accuracy problems into product and analytics use cases • Prioritize which new features in the backlog will be added to the product • Understand the customer needs and be able to interpret customer feedback • Develop and implement plans to achieve business goals • Proactively support project and/or business by creating project documents, timelines that identify key milestones and additional resources needed on selected project(s) • Serve as the voice & champion of POA by driving the growth of the analytics program in a methodical & orderly manner with proper business controls and reporting built into the program • Identify gaps and recommend enhancements related to new and/or existing products, services and workflows based on a broad view of the organization • Work directly with vendors and business partners to resolve issues and in a timely manner • Facilitate project teams and present updates to leadership, influencing various internal (cross-functional/segment) and external parties (e.g., vendor management) • Identify issues that may stall project and address them by either direct resolution, creating an alternative solution, or escalation to leadership • Track progress and communicate project(s) status on a regular basis to all impacted parties • Build communication plans for implementation to ensure all impacted parties are informed of next steps for completion

🎯 Requisitos

• 5+ years of product management experience, preferably in analytics or healthcare products • 3+ years healthcare claims or payment accuracy experience • Experience working with Data Science or Data Engineering teams • Cross functional matrix partnership experience • Financial acumen • Agile, Lean and/or Six Sigma • Project Management skills • Claims processing experience or End-to-End claims knowledge • Bachelor's degree or equivalent work experience

🏖️ Benefícios

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families