Medicare Part D Product Manager — Remote

Navitus; Richmond (VA); On-site; USD 100,000 - 140,000; Full time

Benefits offered by this job

Health insurance

20 days paid time off

4 weeks paid parental leave

9 paid holidays

401K company match

Adoption Assistance Program

Flexible Spending Account

Educational Assistance Plan and Member

Referral Bonus Program

Job summary

Navitus Health Solutions is seeking a Product Manager to lead product management for the Medicare Part D program. The PM will design, implement, and oversee Part D processes to meet CMS guidance and client expectations, ensuring compliant software and processes.

The role requires deep expertise in Medicare Part D regulations, project management, and collaboration with cross-functional teams to drive scalable, compliant solutions and support CMS audits.

Qualifications

• Knowledge of Medicare Part D rules and CMS guidance
• Experience with regulatory compliance oversight and audits
• Ability to lead projects and develop/implement processes
• Familiarity with coverage determinations, appeals, formulary management, and related processes

Responsibilities

• Develops and maintains expertise on Medicare Part D rules and regulations
• Monitors CMS regulations and ensures Part D functions meet requirements
• Manages development and maintenance of Part D processes for clients with project plans
• Oversees Navitus Medicare D services and alignment with risk controls
• Identifies process improvements to improve efficiency and automation
• Leads corrective actions to address compliance issues and supports CMS audits
• Provides SME guidance on Part D requirements and processes
• Supports Sales with RFP responses for Medicare Part D
• Ensures policies/documentation reflect regulatory compliance
• Other duties as assigned

Skills

Medicare Part D

Regulatory compliance

Project management

CMS guidance

Education

Bachelor’s degree or equivalent

Job description

Navitus Health Solutions is seeking a Product Manager to lead product management for the Medicare Part D program. The PM will design, implement, and oversee Part D processes to meet CMS guidance and client expectations, ensuring compliant software and processes.

The role requires deep expertise in Medicare Part D regulations, project management, and collaboration with cross-functional teams to drive scalable, compliant solutions and support CMS audits.