Senior Product Manager - Utilization Management

CVS HealthWork At Home-Pennsylvania, PA
$118,450 - $236,900

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. 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.

Requirements

  • 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

Nice To Haves

  • 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

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

Benefits

  • medical
  • dental
  • vision coverage
  • paid time off
  • retirement savings options
  • wellness programs
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