Remote Medicare Part D Product Manager

Navitus; Carson City (NV); On-site; USD 110,000 - 140,000; 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, ensure CMS guidance compliance, and oversee regulatory requirements for multiple Part D clients. The PM will design, implement, and monitor programs, collaborating with cross-functional teams to maintain compliance and optimize operations.

The role requires strong knowledge of Part D regulations, project management capabilities, and the ability to manage complex processes in a regulated environment.

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 processes preferred (coverage determinations, appeals, grievances, prior authorizations, formulary management).
• Experience in government program compliance oversight and CMS audit protocol highly desired.
• Participate in, adhere to, and support compliance program objectives.
• Ability to consistently interact cooperatively and respectfully with other employees.

Responsibilities

• Develops and maintains deep subject matter expertise related to Medicare Part D rules and regulations.
• Monitors CMS regulations, guidance, and system changes; ensures regulatory compliance for Part D function.
• Manages development, implementation, and maintenance of Part D processes for clients; creates project plans and leads related projects.
• Oversees services delegated to Navitus by Medicare D clients; aligns oversight with identified risks.
• Implements process improvements to gain efficiencies and scalability; supports best practices.

Skills

Medicare Part D knowledge

Regulatory compliance

CMS audit familiarity

Cross-functional teamwork

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, ensure CMS guidance compliance, and oversee regulatory requirements for multiple Part D clients. The PM will design, implement, and monitor programs, collaborating with cross-functional teams to maintain compliance and optimize operations.

The role requires strong knowledge of Part D regulations, project management capabilities, and the ability to manage complex processes in a regulated environment.