Medicare Claims Technology Product Management Director

Emploi pas sur LinkedIn

🕒 il y a 6 jours

🦌 Connecticut, Florida, +2 états de plus – Distant

🦌 Connecticut – Remote 🐊 Florida – Remote 🗽 New York – Remote ⚔️ Virginia – Remote

💵 $144 200 - $288 400 / an

⏰ Temps Plein

🔴 Expert

✅ Responsable Produit

👻 Score fantôme 0%

Ce que ça veut dire : la probabilité que cette offre reste ouverte sans recrutement actif.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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CVS Health

Site WebLinkedInTous les Emplois

10 000+ employés

Fondée en 1963

🏥 Santé

⚕️ Assurance santé

🛒 Commerce de détail

Healthcare • Healthcare Insurance • Retail

CVS Health est une entreprise américaine de premier plan dans le domaine de la santé, dédiée à l'amélioration de l'accès et de l'accessibilité financière des soins de santé. L'entreprise s'appuie sur une approche globale qui comprend les services de santé, l'assurance santé et la gestion des prestations pharmaceutiques. À travers ses filiales, telles qu'Aetna et CVS Caremark, CVS Health propose une gamme de services qui favorisent le bien-être, la gestion des maladies chroniques et une couverture abordable des médicaments prescrits. CVS Health exploite des pharmacies de proximité, fournit des services de pharmacie par correspondance et gère des programmes de médicaments spécialisés, visant à rendre les soins de santé pratiques et accessibles à tous. Animée par une mission de connecter les individus aux services de soins essentiels, CVS Health s'engage à favoriser des communautés en meilleure santé et à soutenir le bien-être de toutes les personnes.

Description

• Shape the strategy, roadmap, performance, and modernization of technology products and platforms supporting Medicare claims administration for more than 4 million members • Establish and mature product structure, practices, accountabilities, and cross-functional ways of working under a product operating model • Partner with business, engineering, data, architecture, operations, delivery leaders, and strategic software vendors to translate needs into prioritized investments, aligned roadmaps, and measurable outcomes • Influence vendor roadmaps, align modernization priorities, manage critical dependencies, partner with release management on complex releases, and hold partners accountable for product performance and business outcomes • Lead and develop product management colleagues and evolve teams toward sustained accountability for product and business outcomes • Define and socialize product vision, strategy, roadmaps, investment priorities, business cases, Epics, initiatives, OKRs, backlogs, capacity, timelines, and commitments • Lead discovery work, define roadmap items and epics, identify dependencies, size future-quarter work, and facilitate product ceremonies and PI planning • Monitor product, technical, and customer health using performance data and quantitative insights • Coordinate product launches, beta testing, user feedback collection, and product documentation • Facilitate the 5-in-the-box cross-functional product leadership team and socialize business strategies and outcomes • Showcase product team delivery and final output to stakeholders • Recruit, grow, coach, and develop product management colleagues while establishing high-performing team norms and a customer-centric culture

🎯 Exigences

• 10+ years of relevant experience in digital product management, healthcare technology, claims administration, or related product and technology leadership roles • 7+ years of software product management experience, with accountability for product strategy and the full product lifecycle from discovery through launch, adoption, and ongoing optimization • 5+ years of healthcare payer experience, including significant experience with claims administration products, platforms, operations, or transformation initiatives • Demonstrated knowledge of the end-to-end claims lifecycle, including benefit interpretation, adjudication, pricing, payment, adjustments, appeals, and financial reconciliation • Experience directly leading, developing, and coaching product management teams • Ability to work primarily during Eastern Time business hours and support critical business or production needs when required • Experience with Medicare Advantage claims, including CMS requirements, benefit configuration, provider reimbursement, claims accuracy, payment integrity, and regulatory compliance • Ability to translate claims business rules, regulatory requirements, operational needs, and performance issues into product capabilities, roadmaps, and measurable outcomes • Experience partnering across Claims Operations, Configuration, Provider, Finance, Compliance, Clinical, Engineering, and Data teams • Experience leading large-scale technology modernization initiatives involving cloud-based platforms, microservices architectures, legacy-system transformation, and complex enterprise dependencies • Ability to influence senior business and technology leaders, align cross-functional teams, and guide prioritization and investment decisions in a complex, regulated environment • Experience managing strategic technology vendor relationships • Experience leading product or operating-model transformation within a large, matrixed enterprise • Demonstrated use of data, quantitative analysis, and product performance measures • Working knowledge of cloud platforms, modern software architectures, AI, and machine learning • Product management or Agile certifications • Bachelor's degree or equivalent work experience

🏖️ Avantages

• CVS Health bonus, commission or short-term incentive program • Award target in the company’s equity award program • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being, based on eligibility