Remote Medicare Part D Product Manager – Compliance & Impact

Navitus; Hartford (CT); Remote; USD 110,000 - 140,000; Full time

Benefits offered by this job

Health, Dental, Vision insurance

Paid time off

Parental leave

Holidays

401K company match

Adoption Assistance

Flexible Spending Account

Educational Assistance & Professional成

Job summary

Navitus Health Solutions seeks a Product Manager to lead Medicare Part D program design, development, and oversight in a compliance-driven environment. You will drive processes that meet CMS guidance while aligning with client expectations, ensuring robust software and monitoring are in place.

The role emphasizes regulatory expertise, project leadership, and collaboration with sales and compliance teams to address audits and client needs.

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 examples such as coverage determinations and formulary management preferred.
• Participation in government program compliance oversight and CMS audit protocol is highly desired.

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.
• Manages development and maintenance of Medicare Part D processes for clients with project plans and oversight.
• Performs operational oversight for services delegated by Medicare D clients.
• Identifies process improvements to gain efficiencies and mitigate non-compliance risk.
• Supports compliance efforts including CMS audits and client oversight audits.

Skills

Medicare Part D knowledge

Regulatory compliance

CMS guidance interpretation

Project management

Stakeholder collaboration

Education

Bachelor’s degree or equivalent work experience in Medicare Part D

Job description

Navitus Health Solutions seeks a Product Manager to lead Medicare Part D program design, development, and oversight in a compliance-driven environment. You will drive processes that meet CMS guidance while aligning with client expectations, ensuring robust software and monitoring are in place.

The role emphasizes regulatory expertise, project leadership, and collaboration with sales and compliance teams to address audits and client needs.