Product Manager - AI Healthcare Claims

CVS Health • Washington, NV

1d • $83,430 - $222,480

About The Position

CVS Health’s Analytics & Behavior Change department uses AI and Data Science to improve the speed, accuracy, and consistency of healthcare claims processing. The Product Manager will lead discovery and delivery for a flagship AI platform supporting claims processing, serving as the end-to-end product owner for a focused delivery squad from discovery through launch.

The role involves researching claims-processing workflows with users and operations teams, managing the squad backlog and sprint delivery, partnering with Data Scientists on model logic and validation, and coordinating delivery across engineering, UX, and business stakeholders. The Product Manager will define and track operational efficiency, decision quality, and user adoption metrics, and communicate product decisions to senior leadership and operational partners.

Requirements

• At least 3 years of Product Management experience, with demonstrated ownership of a product from discovery through delivery.
• At least 2 years of experience partnering with Data Science and Engineering teams to ship AI-, ML-, or analytics-powered products.
• At least 2 years of experience conducting user research and translating complex operational workflows into buildable product requirements.
• At least 2 years of experience leading cross-functional delivery in complex organizational environments with multiple technical and business stakeholders.
• At least 2 years of experience working in Agile environments, including backlog ownership, sprint planning, and scope management.
• At least 2 years demonstrating strong verbal and written communication skills, with the ability to represent product decisions clearly to technical and non-technical audiences.
• Bachelor’s degree required.

Nice To Haves

• Experience in healthcare claims processing, utilization management, or a similarly regulated, high-stakes workflow environment.
• Background building products for frontline operations or internal enterprise users.
• Familiarity with compliance-sensitive data environments such as PII or PHI.
• Experience with workflow analysis or operational efficiency tooling.
• Bachelor’s degree preferably in Computer Science, Engineering, Data Science, Business, or a related analytical field.
• Master’s degree or MBA.

Responsibilities

• Lead user research and discovery with claims processors and operations teams to understand workflows, friction points, and opportunities for AI-driven decision support.
• Own the squad backlog and sprint delivery, including writing requirements, setting priorities, and making scope tradeoffs based on outcomes.
• Partner with Data Scientists to define model logic, validation criteria, and product rules that determine system recommendations and explanations.
• Drive cross-functional delivery across engineering, UX, and business stakeholders in a matrixed environment.
• Define and track success metrics tied to operational efficiency, decision quality, and user adoption.
• Represent product decisions clearly to senior leadership and operational partners.

Benefits

• Medical coverage
• Dental coverage
• Vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources to support physical, emotional, and financial well-being, based on eligibility
• Eligible for a CVS Health bonus, commission, or short-term incentive program

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level