Medicare Part D Product Manager — Remote

Navitus; Springfield (IL); Remote; USD 90,000 - 130,000; Full time

Benefits offered by this job

Health insurance

PTO 20 days

Parental leave 4 weeks

9 holidays

401K company match up to 5%

Adoption Assistance Program

Flexible Spending Account

Educational Assistance Plan

Referral Bonus Program

Job summary

Navitus Health Solutions is seeking a Product Manager to lead Medicare Part D processes, ensuring regulatory compliance and alignment with CMS guidance. The role focuses on development, implementation, and oversight of Part D programs for clients, driving improvements and risk mitigation.

The PM will manage initiatives, coordinate with stakeholders, and support compliance activities, audits, and client engagements while staying current with CMS updates.

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 preferred.
• Experience in government program compliance oversight and CMS audit protocol highly desired.
• Support compliance program objectives and ensure adherence to CMS guidance.
• Ability to interact cooperatively with colleagues and stakeholders.

Responsibilities

• Develops and maintains deep subject matter expertise on Medicare Part D rules and regulations.
• Monitors CMS regulations, guidance, and system changes for regulatory compliance.
• Manages development, implementation, and maintenance of Part D processes for clients; leads projects.
• Oversees services delegated to Navitus by Medicare D clients; aligns oversight with risks.
• Implements process improvements to gain efficiencies and scalability.
• Participates in corrective actions to address compliance issues and root causes.
• Provides SME support on guidance interpretation and operational processes.
• Supports Sales with RFP responses specific to Medicare Part D as needed.
• Ensures policies exist documenting compliance with Part D and regulatory requirements.
• Performs periodic audits to ensure duties align with policy.

Skills

Medicare Part D knowledge

Regulatory compliance

CMS guidance interpretation

Project management

Education

Bachelor's degree or equivalent work experience in Medicare Part D

Job description

Navitus Health Solutions is seeking a Product Manager to lead Medicare Part D processes, ensuring regulatory compliance and alignment with CMS guidance. The role focuses on development, implementation, and oversight of Part D programs for clients, driving improvements and risk mitigation.

The PM will manage initiatives, coordinate with stakeholders, and support compliance activities, audits, and client engagements while staying current with CMS updates.