Medicare Part D Product Manager (Remote)

Navitus; Helena (MT); Remote; USD 110,000 - 160,000; Full time

Benefits offered by this job

Health insurance (Medical, Dental, and

Dental

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)

Professional Membership assistance

Referral Bonus Program – up to $750

Remote-friendly environment

Job summary

Navitus Health Solutions is seeking a Product Manager to lead product management for the Medicare Part D program, designing, developing, implementing, and overseeing processes that meet CMS guidance and client expectations.

The PM will translate CMS guidance into practical software and procedures, manage projects, monitor regulatory changes, and collaborate with clients and internal teams to ensure compliance and program success.

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 related areas (coverage determinations, appeals and grievances, prior authorizations, formulary management, transition monitoring, etc.) preferred.
• Experience in government program compliance oversight and CMS audit protocol highly desired.
• Participate in, adhere to, and support compliance program objectives.
• The ability to consistently interact cooperatively and respectfully with other employees.

Responsibilities

• Develops and maintains deep subject matter expertise related to Medicare Part D rules and regulations.
• Monitors and interprets CMS regulations, guidance, and system changes; ensures Part D function meets regulatory requirements.
• Manages development, implementation, and maintenance of Medicare Part D processes for all Part D clients; leads projects and ensures scalable monitoring.
• Oversees services delegated to Navitus by Medicare D clients; aligns oversight with identified risks.
• Identifies process improvements to gain efficiencies and mitigate non-compliance/risk.
• Supports compliance efforts including CMS audits and client oversight audits.

Skills

Medicare Part D expert

Regulatory interpretation

Team collaboration

Education

Bachelor’s degree or equivalent experience

Job description

Navitus Health Solutions is seeking a Product Manager to lead product management for the Medicare Part D program, designing, developing, implementing, and overseeing processes that meet CMS guidance and client expectations.

The PM will translate CMS guidance into practical software and procedures, manage projects, monitor regulatory changes, and collaborate with clients and internal teams to ensure compliance and program success.