AI-Driven Healthcare Claims Product Manager

CVS Health; Columbia (SC); On-site; USD 83,000 - 222,000; Full time

Benefits offered by this job

Comprehensive benefits package

Bonus eligible

Job summary

CVS Health in Columbia, SC is seeking a Product Manager to lead discovery and delivery for an AI-powered claims processing platform. You will collaborate with claims processors, data scientists, and engineers to define requirements and deliver measurable improvements in efficiency and decision quality.

The role emphasizes rigorous discovery, backlog ownership, and cross-functional collaboration in a fast-paced healthcare environment.

Qualifications

• 3+ years of Product Management experience with ownership from discovery through delivery.
• 2+ years partnering with Data Science and Engineering teams to ship AI/ML/analytics-powered products.
• 2+ years conducting user research translating workflows into product requirements.
• 2+ years leading cross-functional delivery in complex organizations with multiple stakeholders.
• 2+ years working in Agile environments: backlog ownership, sprint planning, scope management.
• 2+ years of strong verbal and written communication to technical and non-technical audiences.

Responsibilities

• Lead user research and discovery with claims processors and operations teams to understand workflows and opportunities for AI-driven decision support.
• Own the squad backlog and sprint delivery: write requirements, set priorities, and manage scope with outcomes in mind.
• Partner with Data Scientists to define model logic, validation criteria, and product rules for recommendations.
• 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.

Skills

User research

Requirements writing

Stakeholder communication

Agile backlog

Cross-functional collaboration

Data Science collaboration

Sprint planning

Business impact focus

Education

Bachelor's degree in CS/Engineering/Data Science/Business

Master's degree or MBA is a plus

Job description

CVS Health in Columbia, SC is seeking a Product Manager to lead discovery and delivery for an AI-powered claims processing platform. You will collaborate with claims processors, data scientists, and engineers to define requirements and deliver measurable improvements in efficiency and decision quality.

The role emphasizes rigorous discovery, backlog ownership, and cross-functional collaboration in a fast-paced healthcare environment.