Medicare Part D Product Manager - Remote & Regulatory

Navitus; Dover (DE); Remote; USD 90,000 - 130,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Paid time off

Parental leave

Holidays

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 processes, ensuring compliance with CMS guidelines and client expectations. You will develop, implement, and oversee Part D operations with a focus on regulatory adherence and scalable processes.

The role requires deep knowledge of Part D regulations, project management, and collaboration across teams to drive compliant solutions for Navitus’ clients.

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 accountabilities preferred (e.g., coverage determinations, appeals, grievances).
• Experience in government program compliance oversight and CMS audit protocol highly desired.
• Support compliance program objectives and cross-functional collaboration.

Responsibilities

• Develops and maintains deep subject matter expertise related to Medicare Part D rules and regulations.
• Monitors CMS guidance, regulations, and system changes to ensure regulatory compliance.
• Manages development, implementation, and maintenance of Medicare Part D processes for all clients with project plans.
• Provides SME support for guidance interpretation and operational processes for Med D requirements.
• Supports Sales with RFP responses specific to Medicare Part D as needed.
• Ensures policies exist documenting Navitus’ compliance with Part D requirements and conducts periodic audits.

Skills

Medicare Part D

CMS audits

Compliance oversight

Team collaboration

Education

Bachelor’s degree in Medicare Part D

Job description

Navitus Health Solutions is seeking a Product Manager to lead Medicare Part D processes, ensuring compliance with CMS guidelines and client expectations. You will develop, implement, and oversee Part D operations with a focus on regulatory adherence and scalable processes.

The role requires deep knowledge of Part D regulations, project management, and collaboration across teams to drive compliant solutions for Navitus’ clients.