Senior Product Manager - Utilization Management

Posted Yesterday
Be an Early Applicant
Home, PA, USA
In-Office
118K-237K Annually
Senior level
Fitness • Healthtech • Retail • Pharmaceutical
The Role
Lead product priorities and backlog for a Utilization Management product area, translating business, clinical, regulatory, and operational needs into deliverable requirements. Coordinate across engineering, design, architecture, and business stakeholders, manage dependencies and risks, refine roadmap, measure outcomes, and support readiness and cross-product value stream execution across Commercial, Medicare, and Medicaid.
Summary Generated by Built In

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.

Position Summary

The Senior Product Owner, Utilization Management sits within the technology organization and is responsible for managing products within the Utilization Management value stream. This role owns product priorities for an assigned product area and helps ensure the platform supports the needs of all three lines of business: Commercial, Medicare, and Medicaid.

This role serves as a critical bridge between business and technology teams. The Senior Product Owner translates business needs, operational requirements, regulatory considerations, and user insights into clear product priorities and actionable work for delivery teams. This individual manages and prioritizes the team backlog, maintains the integrity of features and components within their product area, and partners closely with Engineering, Architecture, Design, operations, and business stakeholders to deliver high-value outcomes.

This role supports the broader Utilization Management product strategy by leading execution of initiatives that may span multiple products, workflows, and lines of business. The Senior Product Owner helps optimize the roadmap to support business goals, operational efficiency, compliance requirements, and user experience, while also ensuring technology teams have the clarity needed to execute effectively. They are responsible for identifying dependencies across teams, coordinating delivery planning, and supporting successful implementation of capabilities across the UM platform.

This role serves as a key point of coordination for delivery readiness, business alignment, and outcome execution within their assigned product area. The Senior Product Owner partners closely with product leadership and cross-functional stakeholders to manage risks, define success measures, support prioritization decisions, and communicate progress. This individual is expected to operate with a high degree of independence, influence across organizational boundaries, and a strong understanding of how to connect strategic intent with technical execution.

Key Responsibilities

  • Manage and prioritize the product backlog for an assigned product within the Utilization Management value stream
  • Translate business, operational, clinical, and regulatory needs into clear product requirements and delivery priorities
  • Serve as a liaison between business stakeholders and technology teams to ensure shared understanding of priorities, scope, and expected outcomes
  • Partner with Engineering, Architecture, Design, and cross-functional stakeholders to deliver features and enhancements aligned to business and operational goals
  • Support platform capabilities across Commercial, Medicare, and Medicaid while accounting for line-of-business-specific needs
  • Identify, manage, and communicate dependencies, risks, and impacts across teams, products, and workflows
  • Support development and ongoing refinement of the product roadmap for the assigned product area
  • Define, monitor, and socialize product, delivery, and outcome metrics tied to business objectives
  • Partner with leadership to support implementation planning, readiness, and communication for new capabilities
  • Contribute to cross-product coordination and value stream planning to support broader Utilization Management strategy

Required Qualifications

  • 7-10 years work experience

  • Adept at problem solving and decision making skills

  • Adept at collaboration and teamwork

  • Adept at growth mindset (agility and developing yourself and others) skills

  • Adept at execution and delivery (planning, delivering, and supporting) skills

  • Adept at business intelligence

Preferred Qualifications

• Prior working experience working in an agile environment
• Strong negotiation, organizational, management, analytical and people skills
• Collaborating with multi-disciplinary product teams
• Comfortable and confident to lead team discussions
• Fact-based problem solver with the ability to proactively identify and address potential issues, evaluate alternative courses of action, and make sound management decisions
• Strong critical thinker who makes balanced, insightful decisions. They should display confident decision-making while considering not only their product component or experience, but also the broader impact on the business
• Able to coach and mentor junior team members

Education

Bachelor's degree preferred/specialized training/relevant professional qualification

Pay Range

The typical pay range for this role is:

$118,450.00 - $236,900.00


This 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.  This position also includes an award target in the company’s equity award program. 
 

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.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on
Benefits Moments.

We anticipate the application window for this opening will close on: 08/16/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Skills Required

  • 7-10 years work experience
  • Problem solving and decision making skills
  • Collaboration and teamwork
  • Growth mindset (agility and developing yourself and others)
  • Execution and delivery (planning, delivering, and supporting)
  • Business intelligence
  • Bachelor's degree or specialized training/relevant professional qualification
  • Prior experience working in an agile environment
  • Strong negotiation, organizational, management, analytical and people skills
  • Experience collaborating with multi-disciplinary product teams
  • Comfortable and confident to lead team discussions
  • Fact-based problem solving and sound management decision-making
  • Strong critical thinking and balanced decision-making
  • Ability to coach and mentor junior team members
Am I A Good Fit?
beta
Get Personalized Job Insights.
Our AI-powered fit analysis compares your resume with a job listing so you know if your skills & experience align.

The Company
HQ: Woonsocket, RI
119,959 Employees
Year Founded: 1963

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.

Similar Jobs

Comcast Logo Comcast

Account Representative

Digital Media • Information Technology • News + Entertainment
Hybrid
Pittsburgh, PA, USA
115000 Employees

Comcast Logo Comcast

Account Manager

Digital Media • Information Technology • News + Entertainment
Hybrid
Plymouth Meeting, PA, USA
115000 Employees

Comcast Logo Comcast

Senior Platform Engineer

Digital Media • Information Technology • News + Entertainment
Hybrid
West Chester, PA, USA
115000 Employees

Comcast Logo Comcast

Manager, Agentic Sales Assistant Program (1 of 3)

Digital Media • Information Technology • News + Entertainment
Hybrid
Philadelphia, PA, USA
115000 Employees
102K-169K Annually

Similar Companies Hiring

Scotch Thumbnail
Artificial Intelligence • eCommerce • Fintech • Payments • Retail • Software • Analytics
US
35 Employees
OneImaging Thumbnail
Healthtech
Miami, FL
62 Employees
Golden Pet Brands Thumbnail
Digital Media • eCommerce • Information Technology • Marketing Tech • Pet • Retail • Social Media
El Segundo, California
178 Employees

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account