Product Manager, Payment Accuracy

CVS Health•Work At Home-Connecticut, CT

1d•$101,970 - $203,940•Onsite

About The Position

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.

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

Nice To Haves

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

Responsibilities

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