Medicare Part D Product Leader

Navitus; Denver (CO); On-site; USD 90,000 - 130,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Paid time off

Parental leave

401K match

Adoption Assistance

Flexible Spending Account

Educational Assistance

Professional Membership assistance

Referral Bonus Program

Job summary

Navitus Health Solutions is seeking a Product Manager to lead Medicare Part D design, development, and oversight. The role focuses on compliance with CMS guidance and ensuring processes meet regulatory and client expectations while aligning software and operations.

You will guide implementation, monitor regulatory changes, coordinate cross-functional teams, and support audits and client engagements. A strong background in Part D rules and risk management is essential.

Qualifications

• Bachelor’s degree or equivalent work experience in Medicare Part D.
• 3 years of Medicare Part D experience or equivalent domain knowledge.
• Expertise in Medicare Part D regulations and related CMS guidance.
• Experience in government program compliance oversight and CMS audits is preferred.
• Ability to interact cooperatively and respectfully with colleagues.

Responsibilities

• Develops and maintains subject matter expertise on Medicare Part D rules and regulations.
• Monitors CMS regulations, guidance, and system changes to ensure regulatory compliance.
• Leads development and maintenance of Medicare Part D processes across clients and projects.
• Provides operational oversight for services delegated to Navitus by Medicare D clients.
• Identifies process improvements to enhance efficiency, automation, and compliance.
• Participates in corrective actions to address non-compliance and support CMS audits.
• Offers SME support for guidance interpretation, processes, and issue resolution.
• Supports Sales with RFP responses specific to Medicare Part D.
• Ensures policies document compliance with Part D requirements and performs periodic audits.
• Other duties as assigned.

Skills

Medicare Part D experience

CMS regulations expertise

Compliance program participation

Cross-functional collaboration

Problem solving / root cause

Education

Bachelor’s degree or equivalent Part D experience

Job description

Navitus Health Solutions is seeking a Product Manager to lead Medicare Part D design, development, and oversight. The role focuses on compliance with CMS guidance and ensuring processes meet regulatory and client expectations while aligning software and operations.

You will guide implementation, monitor regulatory changes, coordinate cross-functional teams, and support audits and client engagements. A strong background in Part D rules and risk management is essential.