Product Manager, Government Services Products, CVS Health

CVS Health

Location:
United States, Work at Home, Texas

Category:
IT - Software Development

Contract Type:
Employment contract

Salary:

60300.00 - 132600.00 USD / Year

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Job Description:

As a Product manager, you will provide technical, analytical, and business support for all assigned programs for Medicare, Medicaid, and Commercial products. Programs currently include End-Stage Renal Disease (ESRD), Hospice, Transplant, Transition Fill and Part D Vaccine Administration. You will be asked to develop business requirements used by clients to develop 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 able to explain and present program functionality from a system logic perspective as well as a business program management.

Job Responsibility:

Providing detailed and technical functional design requirements to internal and external 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 oversight
Identifying and reporting instances affecting performance guarantees and service level agreements
Providing root cause analysis through claim adjudication research and data trends
Supporting internal and external audits and ensuring audit responses are timely and accurate

Requirements:

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

Nice to have:

Reporting programs such as RxNavigator to review and develop reports
Microsoft 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 levels of an organization
Highly organized and able to quickly prioritize multiple assignments
Strong interpersonal communication skills using active listening and open-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 levels 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
Develop and maintain effective work relationships

What we offer:

Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan
No-cost programs for all 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 access and many other benefits depending on eligibility

Additional Information:

Job Posted:
October 27, 2025

Expiration:
October 31, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Product Manager, Government Services Products