Medicare Part D Product Manager (Remote)

Navitus Health Solutions, LLC; United States; Remote; USD 80,000 - 98,000; Full time

Benefits offered by this job

Health, Dental, and Vision insurance

Paid time off

Parental leave

401K company match

Job summary

Navitus Health Solutions is seeking a Product Manager (PM) to lead Medicare Part D product management, ensuring regulatory compliance and alignment with CMS guidance. The PM will design, implement, and oversee Part D processes supporting both regulatory requirements and client expectations.

The role emphasizes collaboration across teams, project leadership, and maintaining strong oversight for CMS-related activities to keep Navitus compliant and efficient in delivering Medicare Part D services.

Qualifications

• Bachelor’s degree or equivalent work experience in Medicare Part D.
• 3 years of Medicare Part D experience.
• Expertise in Medicare Part D regulations and demonstrated accountabilities in areas such as coverage determinations, appeals and grievances, prior authorizations, formulary management, transition monitoring, etc. is preferred.
• Experience in government program compliance oversight and CMS audit protocol highly desired.
• Participate in, adhere to, and support compliance program objectives.

Responsibilities

• Develops and maintains deep subject matter expertise related to Medicare Part D rules and regulations.
• Monitors CMS regulations, guidance, and system changes to ensure regulatory compliance.
• Manages development, implementation, and maintenance of Medicare Part D processes for all clients.
• Oversees services delegated to Navitus by Medicare D clients and identifies risk-based improvements.
• Supports compliance efforts including CMS audits and client oversight audits.

Skills

Medicare Part D knowledge

CMS regulations

Regulatory oversight

Cross-functional collaboration

Project management

Education

Bachelor’s degree or equivalent in Medicare Part D

Job description

Navitus Health Solutions is seeking a Product Manager (PM) to lead Medicare Part D product management, ensuring regulatory compliance and alignment with CMS guidance. The PM will design, implement, and oversee Part D processes supporting both regulatory requirements and client expectations.

The role emphasizes collaboration across teams, project leadership, and maintaining strong oversight for CMS-related activities to keep Navitus compliant and efficient in delivering Medicare Part D services.