We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
As a Product Manager for Payment Accuracy, you will own the end-to-end lifecycle of analytics-driven products focused on identifying and reducing medical overpayments. This role requires a strong combination of product leadership, healthcare claims expertise, and data-driven decision-making. You will partner closely with Data Science, Data Engineering, and Claims SMEs to translate complex business problems into scalable product solutions that drive measurable financial outcomes
Key Duties will be:
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
Partner with Data Science and Data Engineering to deliver scalable solutions
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 (upstream/downstream) are informed of next steps for completion
Required Qualifications
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
Preferred Qualifications
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
Education
Bachelor's degree or equivalent work experience
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$101,970.00 - $203,940.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range 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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Skills Required
- 5+ years of product management experience
- 3+ years healthcare claims or payment accuracy experience
- Experience working with Data Science or Data Engineering teams
- Bachelor's degree or equivalent work experience
- Product management experience in analytics or healthcare products
- 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
What We Do
CVS Health is the leading health solutions company that delivers care in ways no one else can. We reach people in more ways and improve the health of communities across America through our local presence, digital channels and our nearly 300,000 dedicated colleagues – including more than 40,000 physicians, pharmacists, nurses and nurse practitioners. Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications, or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day.
