Medicare Claims Technology Product Management Director

CVS Health

. Shape the strategy, roadmap, performance, and modernization of technology products and platforms supporting Medicare claims administration for more than 4 million members .

Posted 10/14/2026full-timeRemote • United StatesLead💰 $144,200 - $288,400 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive experience in digital product management within healthcare technology, particularly in claims administration, with a strong focus on product strategy, lifecycle management, and cross-functional collaboration. Proven ability to lead teams, influence stakeholders, and drive modernization initiatives in a complex regulatory environment.

Highest-signal resume keywords

Digital Product ManagementHealthcare TechnologyClaims AdministrationProduct StrategyAgile Certifications

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Product Lifecycle ManagementData AnalysisPerformance MeasurementCloud-Based PlatformsMicroservices ArchitecturesRegulatory ComplianceClaims Lifecycle KnowledgeProduct Vision DefinitionRoadmap DevelopmentVendor Relationship Management

Soft Skills

Team LeadershipCoachingCross-Functional CollaborationInfluencing StakeholdersCustomer-Centric Culture

Tools & Technologies

AIMachine LearningCloud PlatformsPerformance Data MonitoringProduct Documentation

Certifications & Qualifications

Product Management CertificationsAgile Certifications

Industry Keywords

Medicare Advantage ClaimsClaims OperationsBenefit ConfigurationPayment IntegrityFinancial Reconciliation

Tech Stack

Tools & technologies

CloudMicroservices

About the role

Key responsibilities & impact

Shape the strategy, roadmap, performance, and modernization of technology products and platforms supporting Medicare claims administration for more than 4 million members
Establish and mature product structure, practices, accountabilities, and cross-functional ways of working under a product operating model
Partner with business, engineering, data, architecture, operations, delivery leaders, and strategic software vendors to translate needs into prioritized investments, aligned roadmaps, and measurable outcomes
Influence vendor roadmaps, align modernization priorities, manage critical dependencies, partner with release management on complex releases, and hold partners accountable for product performance and business outcomes
Lead and develop product management colleagues and evolve teams toward sustained accountability for product and business outcomes
Define and socialize product vision, strategy, roadmaps, investment priorities, business cases, Epics, initiatives, OKRs, backlogs, capacity, timelines, and commitments
Lead discovery work, define roadmap items and epics, identify dependencies, size future-quarter work, and facilitate product ceremonies and PI planning
Monitor product, technical, and customer health using performance data and quantitative insights
Coordinate product launches, beta testing, user feedback collection, and product documentation
Facilitate the 5-in-the-box cross-functional product leadership team and socialize business strategies and outcomes
Showcase product team delivery and final output to stakeholders
Recruit, grow, coach, and develop product management colleagues while establishing high-performing team norms and a customer-centric culture

Requirements

What you’ll need

10+ years of relevant experience in digital product management, healthcare technology, claims administration, or related product and technology leadership roles
7+ years of software product management experience, with accountability for product strategy and the full product lifecycle from discovery through launch, adoption, and ongoing optimization
5+ years of healthcare payer experience, including significant experience with claims administration products, platforms, operations, or transformation initiatives
Demonstrated knowledge of the end-to-end claims lifecycle, including benefit interpretation, adjudication, pricing, payment, adjustments, appeals, and financial reconciliation
Experience directly leading, developing, and coaching product management teams
Ability to work primarily during Eastern Time business hours and support critical business or production needs when required
Experience with Medicare Advantage claims, including CMS requirements, benefit configuration, provider reimbursement, claims accuracy, payment integrity, and regulatory compliance
Ability to translate claims business rules, regulatory requirements, operational needs, and performance issues into product capabilities, roadmaps, and measurable outcomes
Experience partnering across Claims Operations, Configuration, Provider, Finance, Compliance, Clinical, Engineering, and Data teams
Experience leading large-scale technology modernization initiatives involving cloud-based platforms, microservices architectures, legacy-system transformation, and complex enterprise dependencies
Ability to influence senior business and technology leaders, align cross-functional teams, and guide prioritization and investment decisions in a complex, regulated environment
Experience managing strategic technology vendor relationships
Experience leading product or operating-model transformation within a large, matrixed enterprise
Demonstrated use of data, quantitative analysis, and product performance measures
Working knowledge of cloud platforms, modern software architectures, AI, and machine learning
Product management or Agile certifications
Bachelor's degree or equivalent work experience

Benefits

Comp & perks

CVS Health bonus, commission or short-term incentive program
Award target in the company’s 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, based on eligibility