Medicare Part D Product Manager - Remote

Navitus

Nashville (TN)

On-site

USD 110,000 - 150,000

Full time

4 days ago
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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
Referral bonus

Job summary

Navitus Health Solutions is seeking a Product Manager to lead Medicare Part D product management, signaling compliance with CMS guidance and robust process design. The PM will oversee Part D processes for multiple clients, guiding projects from inception through implementation and ongoing operation.

The role requires deep Part D knowledge, ability to interpret CMS guidance, and coordination with cross-functional teams to maintain compliant, scalable operations and strong client outcomes.

Qualifications

  • Bachelor’s degree or equivalent in Medicare Part D is required.
  • 3 years of Medicare Part D experience is preferred.
  • Expertise in Medicare Part D regulations and CMS guidance is expected.
  • Experience with government program compliance oversight and CMS audit protocol is desirable.

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 to ensure regulatory compliance.
  • Manages the development, implementation, and maintenance of Medicare Part D processes for all clients; leads projects and implements requirements.
  • Provides SME support on guidance interpretation and operational processes supporting Part D requirements.
  • Supports Sales with RFP responses related to Medicare Part D as needed.
  • Ensures policies document compliance with Part D/regulatory requirements and conducts audits.

Skills

Medicare Part D regulations
Regulatory compliance
CMS audit knowledge
Stakeholder communication

Education

Bachelor’s degree or equivalent experience in Medicare Part D

Tools

Project management tools
CMS guidance tracking

Job description

Navitus Health Solutions is seeking a Product Manager to lead Medicare Part D product management, signaling compliance with CMS guidance and robust process design. The PM will oversee Part D processes for multiple clients, guiding projects from inception through implementation and ongoing operation.

The role requires deep Part D knowledge, ability to interpret CMS guidance, and coordination with cross-functional teams to maintain compliant, scalable operations and strong client outcomes.

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