Remote Medicare Part D Product Manager

Navitus; Columbus (OH); Remote; USD 90,000 - 120,000; Full time

Benefits offered by this job

Health benefits

Dental & Vision

PTO 20 days

Parental leave

Holidays 9

401K match

Adoption assistance

FSAs

Education support

Membership assistance

Referral bonus

Job summary

Navitus Health Solutions is seeking a Product Manager to lead Medicare Part D product management, ensuring compliance with CMS guidance and client expectations. The PM will design, implement, and oversee Part D processes, develop project plans, and drive data-driven improvements across the program.

The role requires strong knowledge of Part D regulations, experience with CMS audits, and ability to collaborate with sales, compliance, and client teams to deploy scalable solutions.

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 related duties such as coverage determinations, appeals, prior authorizations, formulary management, and transition monitoring.
• Experience in government program compliance oversight and CMS audit protocol.

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 for Part D.
• Manages development, implementation, and maintenance of Part D processes for all clients with project plans and oversight.
• Provides SME support for guidance interpretation and problem solving related to Part D requirements.
• Supports Sales with RFP responses specific to Medicare Part D as needed.

Skills

Medicare Part D regulations

CMS audit protocol

Regulatory compliance oversight

Project management

Stakeholder collaboration

Education

Bachelor’s degree or equivalent in Part D

Medicare Part D experience

Tools

Project management tools

Job description

Navitus Health Solutions is seeking a Product Manager to lead Medicare Part D product management, ensuring compliance with CMS guidance and client expectations. The PM will design, implement, and oversee Part D processes, develop project plans, and drive data-driven improvements across the program.

The role requires strong knowledge of Part D regulations, experience with CMS audits, and ability to collaborate with sales, compliance, and client teams to deploy scalable solutions.