Product Manager – AI Healthcare Claims

Job not on LinkedIn

🔥 1 minute ago

🏈 Alabama, Arizona, +42 more states – Remote

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💵 $83.4k - $222.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

✅ Product Manager

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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

• Lead discovery and delivery for a focused squad from user research through product launch • Conduct user research and discovery with claims processors and operations teams • Own the squad backlog and sprint delivery, including requirements, prioritization, and scope tradeoffs • Partner with Data Scientists to define model logic, validation criteria, and product rules • Drive cross-functional delivery across engineering, UX, and business stakeholders • Define and track success metrics tied to operational efficiency, decision quality, and user adoption • Represent product decisions clearly to senior leadership and operational partners

🎯 Requirements

• 3+ years of Product Management experience with demonstrated ownership of a product from discovery through delivery • 2+ years of experience partnering with Data Science and Engineering teams to ship AI, ML, or analytics-powered products • 2+ years of experience conducting user research and translating complex operational workflows into buildable product requirements • 2+ years of experience leading cross-functional delivery in complex organizational environments with multiple technical and business stakeholders • 2+ years of experience working in Agile environments: backlog ownership, sprint planning, and scope management • 2+ years demonstrating strong verbal and written communication skills, with the ability to represent product decisions clearly to both technical and non-technical audiences • Bachelor’s degree required, preferably in Computer Science, Engineering, Data Science, Business, or a related analytical field • Experience in healthcare claims processing, utilization management, or a similarly regulated, high-stakes workflow environment • Background building products for frontline operations or internal enterprise users • Familiarity with compliance-sensitive data environments (PII, PHI, or equivalent) • Experience with workflow analysis or operational efficiency tooling

🏖️ Benefits

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • CVS Health bonus, commission or short-term incentive program in addition to base pay

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