Senior Product Manager – Utilization Management

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🔥 2 hours ago

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Logo of CVS Health

CVS Health

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Manage and prioritize the product backlog for an assigned product within the Utilization Management value stream • Translate business, operational, clinical, and regulatory needs into clear product requirements and delivery priorities • Serve as a liaison between business stakeholders and technology teams to ensure shared understanding of priorities, scope, and expected outcomes • Partner with Engineering, Architecture, Design, and cross-functional stakeholders to deliver features and enhancements aligned to business and operational goals • Support platform capabilities across Commercial, Medicare, and Medicaid while accounting for line-of-business-specific needs • Identify, manage, and communicate dependencies, risks, and impacts across teams, products, and workflows • Support development and ongoing refinement of the product roadmap for the assigned product area • Define, monitor, and socialize product, delivery, and outcome metrics tied to business objectives • Partner with leadership to support implementation planning, readiness, and communication for new capabilities • Contribute to cross-product coordination and value stream planning to support broader Utilization Management strategy

🎯 Requirements

• 7-10 years work experience • Adept at problem solving and decision making skills • Adept at collaboration and teamwork • Adept at growth mindset (agility and developing yourself and others) skills • Adept at execution and delivery (planning, delivering, and supporting) skills • Adept at business intelligence • Bachelor's degree preferred/specialized training/relevant professional qualification

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • other resources, based on eligibility

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