Senior Product Manager, Fraud & Abuse

CVS Health Careers

. Own the product vision, strategy, and performance for Fraud, Waste, and Abuse products .

Posted 11/4/2026full-timeRemote • Kansas • United StatesSenior💰 $130,295 - $260,590 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in product management within the healthcare sector, focusing on Fraud, Waste, and Abuse (FWA) products. Proficient in leveraging AI/ML technologies to enhance product performance and drive business value while managing cross-functional teams and stakeholder engagement.

Highest-signal resume keywords

Product ManagementAI/ML IntegrationHealthcare Industry ExperienceAgile MethodologiesFinancial Acumen

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Product Roadmap ManagementData AnalysisProduct Requirements DefinitionPerformance MonitoringBusiness Impact KPIs

Soft Skills

CollaborationInfluencing StakeholdersProblem SolvingAdaptability

Certifications & Qualifications

Bachelor's Degree

Industry Keywords

FraudWasteAbusePayment IntegrityHealthcare Claims Processing

About the role

Key responsibilities & impact

Own the product vision, strategy, and performance for Fraud, Waste, and Abuse products
Support CVS Health’s Payment Optimization Analytics objectives and revenue and ROI targets
Monitor product performance and drive product enhancements
Oversee deployment and scaling of advanced FWA analytics capabilities
Identify and prioritize AI/ML integration opportunities
Translate market trends, user feedback, and competitive intelligence into product direction
Lead a cross-functional squad of data engineers, data scientists, and ideation team members
Define the squad’s problems, priorities, tradeoffs, and product requirements
Maintain the roadmap, backlog, sprint plans, and demo materials
Facilitate stakeholder sessions, sprint planning, working sessions, and product demos
Evaluate AI/ML advancements for applicability to the product portfolio
Establish and monitor product performance, adoption, and business-impact KPIs
Develop data-driven business cases and secure stakeholder alignment and financial investment
Ensure timely, high-quality delivery of product enhancements meeting business and technical requirements

Requirements

What you’ll need

4+ years of experience in product management or product ownership
3+ years of experience within the healthcare industry
Demonstrated experience managing product roadmaps and defining product requirements
Proven ability to influence and collaborate effectively across cross-functional teams and senior stakeholders
Ability to operate in ambiguity, translating evolving business objectives into clear, prioritized initiatives
Experience leveraging AI/ML technologies to drive measurable business value
Ability to analyze complex data and translate insights into actionable product strategy and business decisions
Experience in Payment Integrity, with a focus on Fraud, Waste, & Abuse (FWA)
Strong financial acumen, with the ability to assess business impact and drive value-based decisions
Experience working within Agile product management frameworks and methodologies
Working knowledge of healthcare claims processing, including end-to-end claims lifecycle
Bachelor's degree or equivalent work experience with healthcare, claims processing, or vendor management

Benefits

Comp & perks

CVS Health bonus, commission or short-term incentive program
Equity award program
Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being