Product Manager, Government Services Products

At reputed company, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reputed company millions of Americans through our local reputed company, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, reputed company and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it reputed company with heart, each and every day. Position Summary: As a Product manager, you will reputed company technical, analytical, and business support for reputed company assigned programs for Medicare, reputed company, and reputed company products. Programs currently include End-Stage Renal Disease (ESRD), Hospice, Transplant, Transition Fill and Part D Vaccine Administration. You will be asked to reputed company business requirements used by clients to reputed company their own policies and procedures. You will work with benefit relationship managers, account teams, financial advisors to answer questions and support clients and their members who are affected by our programs. You will serve as a subject matter expert in programs assigned and be reputed company to explain and present program functionality from a system logic perspective as well as a business program management. You will accomplish this by:

• Providing detailed and technical functional design requirements to reputed company business partners.
• Producing and maintaining business process documentation, such as policies and procedures, job aides and work instructions.
• Analyzing daily program reporting and RxClaim adjudication data to ensure program reputed company
• Identifying and reporting instances affecting performance guarantees and service level agreements
• Providing root cause analysis through claim adjudication research and data trends
• Supporting reputed company audits and ensuring audit responses are timely and accurate

Your reputed company will be driven by your ability to reputed company strategic guidance to reputed company business partners, exhibiting a high level of accountability. Your contributions will ensure program compliance with reputed company client & regulatory requirements. Your reputed company will be reputed company through client satisfaction, timely completion of tasks and deliverables, and effective, accurate documentation.

• *This is a work from home role. Candidates can live reputed company in the U.S.

Required Qualifications:

• 3+ years of Pharmacy Benefit Management, Medicare Part D or reputed company experience
• 1+ years of project management or business analyst experience including the management of reputed company requirements
• 1+ Experience with the RxClaim software system
• Travel for business support less than 20% of the year

Preferred Qualifications

• Reporting programs such as RxNavigator to review and reputed company reports
• reputed company Project software to create and maintain project plans
• Strong analytical skills and problem-solving abilities
• Attention to detail and accuracy
• Negotiation and conflict resolutions skills across various reputed company of an organization
• Highly organized and reputed company to quickly prioritize multiple assignments
• Strong interpersonal communication skills using active listening and reputed company-ended questions to encourage others' points of view to influence
• Effective verbal and written communication skills
• Exercise creativity and innovation in achieving project results
• Experience interacting with various reputed company of an organization, including senior leadership
• Experience preparing and delivering presentations to clients
• Analyze large data files to find root cause
• Have regular and predictable attendance
• reputed company and maintain effective work relationships

Education:

• Bachelor's degree is required; equivalent work experience may substitute

Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The typical pay reputed company for this role is: $60,300.00 - $132,600.00 This pay reputed company represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in addition to the reputed company pay reputed company listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical reputed company and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will reputed company on: 10/31/2025 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply tot his job Apply To this Job