Remote Medicare Part D Product Manager

Navitus; Austin (TX); On-site; USD 110,000 - 160,000; Full time

Benefits offered by this job

Health insurance

PTO

Parental leave

401K match

Education assistance

Referral bonus

Job summary

Navitus Health Solutions is seeking a Product Manager to lead Medicare Part D programs. The PM will design, implement, and oversee Part D processes to meet CMS guidance and client expectations, ensuring compliance and scalable operations.

The role requires strong regulatory knowledge, project management, and cross-functional collaboration with client teams and internal stakeholders to drive process improvements and successful audits.

Qualifications

• Bachelor’s degree or equivalent work experience in Medicare Part D is required.
• Minimum 3 years of Medicare Part D experience.
• Expertise in Medicare Part D regulations and related areas (coverage determinations, appeals, etc.) preferred.
• Experience with government program compliance oversight and CMS audits is highly desired.
• Strong ability to collaborate with teams and communicate effectively.

Responsibilities

• Develops and maintains Medicare Part D processes for Navitus clients.
• Monitors CMS regulations, guidance, and system changes to ensure compliance.
• Leads projects to enhance the Medicare Part D program and implements requirements.
• Provides SME support for guidance interpretation and operational processes.
• Supports Sales with RFP responses specific to Medicare Part D.
• Conducts periodic audits to ensure policy accuracy and oversees compliance.
• Identifies process improvements to increase efficiency and reduce risk.

Skills

Medicare Part D regulations

CMS audit protocols

Regulatory compliance

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 programs. The PM will design, implement, and oversee Part D processes to meet CMS guidance and client expectations, ensuring compliance and scalable operations.

The role requires strong regulatory knowledge, project management, and cross-functional collaboration with client teams and internal stakeholders to drive process improvements and successful audits.