Product Manager, Payment Accuracy

Job not on LinkedIn

🕒 2 days ago

🦌 Connecticut – Remote

🦌 Connecticut – Remote

💵 $102k - $203.9k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

✅ Product Manager

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

Healthcare Insurance • Retail • Wellness

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

• 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

🎯 Requirements

• 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

🏖️ Benefits

• 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