Medicare Part D Product Manager — Remote Impact

Navitus; Saint Paul (MN); Remote; USD 110,000 - 150,000; Full time

Benefits offered by this job

Health insurance

PTO 20 days

Parental leave 4 weeks

9 paid holidays

401K match up to 5%

Adoption Assistance

FSA

Educational assistance

Referral bonus up to $750

Job summary

Navitus Health Solutions is seeking a Product Manager to lead Medicare Part D programs, designing, developing, and overseeing processes that meet CMS guidance and client expectations. The PM will ensure appropriate software, procedures, and monitoring are in place for regulatory compliance.

The role requires building subject matter expertise on Part D rules, interpreting CMS guidance, and managing client implementations.

Qualifications

• Bachelor's degree or equivalent work experience in Medicare Part D.
• 3 years of Medicare Part D experience.
• Expertise in Part D regulations and related processes (coverage, appeals, formulary) preferred.
• Government program compliance oversight and CMS audit protocol desired.
• Ability to collaborate across teams and support compliance programs.

Responsibilities

• Develops and maintains deep subject matter expertise on Medicare Part D rules and regulations.
• Monitors CMS regulations, guidance, and system changes to ensure regulatory compliance.
• Leads development, implementation, and maintenance of Part D processes for all clients with project plans.
• Oversees operations for services delegated to Navitus by Medicare D clients and aligns risk controls.
• Identifies process improvements to gain efficiencies and scalability while mitigating non-compliance.
• Implements corrective actions to address compliance issues and supports CMS audits.
• Provides SME guidance on Part D requirements, processes, and issue resolution.
• Supports Sales with RFP responses related to Medicare Part D as needed.
• Ensures policies exist to document regulatory compliance and conducts periodic audits.
• Performs other duties as assigned.

Skills

Medicare Part D expertise

Regulatory compliance

Project management

Stakeholder communication

Problem solving

Education

Bachelor's degree or equivalent (Medicare Part D)

Job description

Navitus Health Solutions is seeking a Product Manager to lead Medicare Part D programs, designing, developing, and overseeing processes that meet CMS guidance and client expectations. The PM will ensure appropriate software, procedures, and monitoring are in place for regulatory compliance.

The role requires building subject matter expertise on Part D rules, interpreting CMS guidance, and managing client implementations.