Medicare Part D Product Manager (Remote)

Navitus; Boise (ID); Remote; USD 110,000 - 140,000; Full time

Benefits offered by this job

Health, Dental, and Vision insurance

20 days paid time off

4 weeks paid parental leave

9 paid holidays

401K company match up to 5%

Adoption Assistance Program

Flexible Spending Account

Educational Assistance Plan and Pro/M-

Referral Bonus Program - up to $750

Job summary

Navitus Health Solutions seeks a Product Manager to lead Medicare Part D product management, ensuring regulatory alignment with CMS guidance for client-focused processes and compliance oversight. You will design, implement, and monitor Part D procedures, interpret CMS guidance, and drive improvements across the program.

The role requires strong domain expertise, collaboration with cross-functional teams, and ongoing engagement with compliance leadership to address issues and audits.

Qualifications

• Bachelor's degree or equivalent work experience in Medicare Part D required.
• 3 years of Medicare Part D experience required.
• Expertise in Medicare Part D regulations and CMS audit protocol desired.
• Experience in government program compliance oversight and CMS audit protocol highly desired.
• Participate in, adhere to, and support compliance program objectives.
• Ability to interact cooperatively and respectfully with others.

Responsibilities

• Develops and maintains deep subject matter expertise related to Medicare Part D rules and regulations.
• Monitors and interprets CMS regulations and system changes; ensures regulatory compliance of Medicare Part D functions.
• Manages development, implementation, and maintenance of Medicare Part D processes for all clients; leads projects and ensures scalable processes.
• Oversees services delegated to Navitus by Medicare D clients and aligns oversight with risks.
• Identifies process improvements to gain efficiencies, improve automation, and mitigate non-compliance/risk.
• Supports compliance efforts including CMS audits and client oversight audits; engages Compliance leadership as needed.
• Provides SME support for guidance interpretation and implementation support for Med D requirements.
• Supports Sales with RFP responses specific to Medicare Part D.
• Ensures policies exist to document compliance with Part D/regulatory requirements; conducts periodic audits.
• Other duties as assigned.

Skills

Medicare Part D knowledge

Regulatory compliance

CMS audits

Cross-functional collaboration

Education

Bachelor's degree or equivalent in Medicare Part D

Job description

Navitus Health Solutions seeks a Product Manager to lead Medicare Part D product management, ensuring regulatory alignment with CMS guidance for client-focused processes and compliance oversight. You will design, implement, and monitor Part D procedures, interpret CMS guidance, and drive improvements across the program.

The role requires strong domain expertise, collaboration with cross-functional teams, and ongoing engagement with compliance leadership to address issues and audits.