Product Manager, Med-D

Navitus Health Solutions

. Provide product management for the Navitus Medicare Part D program .

Posted 11/5/2026full-timeRemote • United StatesMid-LevelSenior💰 $79,872 - $98,003 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Medicare Part D regulations and compliance, with a strong focus on process improvement, project management, and operational oversight. Capable of leading initiatives that enhance program efficiency and ensure adherence to regulatory requirements.

Highest-signal resume keywords

Medicare Part D ExperienceRegulatory Compliance OversightProject ManagementCMS Audit ProtocolProcess Improvement

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medicare Part D RegulationsCoverage DeterminationsAppeals and GrievancesPrior AuthorizationsFormulary ManagementTransition MonitoringOperational OversightProcess DevelopmentRisk MitigationCorrective Actions

Soft Skills

Cooperative InteractionRespectful Communication

Tools & Technologies

Project Management Tools

Industry Keywords

CMS RegulationsGovernment Program ComplianceAudit SupportPolicy ComplianceSubject Matter Expertise

About the role

Key responsibilities & impact

Provide product management for the Navitus Medicare Part D program
Lead efforts to design, develop, implement, and oversee Medicare Part D processes supporting regulatory requirements and client expectations
Review and act upon CMS technical and business process/operational guidance
Ensure appropriate software, processes/procedures, and oversight monitoring are implemented
Develop and maintain subject matter expertise related to Medicare Part D rules and regulations
Monitor and interpret CMS regulations, guidance, and system changes
Manage development, implementation, and maintenance of Medicare Part D processes for all Medicare Part D clients
Develop project plans and lead projects enhancing the Medicare Part D program
Implement requirements using project management tools and principles
Establish stable processes and effective monitoring mechanisms
Perform operational oversight for services delegated by Medicare Part D clients and align oversight with identified risks
Identify and implement process improvements to improve efficiency, automation, scalability, and compliance/risk mitigation
Implement corrective actions addressing compliance issues and ensure root-cause correction and monitoring
Support CMS audits and client oversight audits
Provide subject matter expert support to the organization and Med D clients
Support Sales efforts with Medicare Part D-specific RFP responses as needed
Ensure policies and procedures document compliance with Part D/regulatory requirements
Perform oversight to ensure guidance citations are accurate and current
Conduct periodic audits of functional-area performance
Perform other duties as assigned

Requirements

What you’ll need

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 demonstrated accountabilities in areas such as coverage determinations, appeals and grievances, prior authorizations, formulary management, transition monitoring, etc. is preferred
Experience in government program compliance oversight and CMS audit protocol highly desired
Participate in, adhere to, and support compliance program objectives
The ability to consistently interact cooperatively and respectfully with other employees

Benefits

Comp & perks

Top of the industry benefits for Health, Dental, and Vision insurance
20 days paid time off
4 weeks paid parental leave
9 paid holidays
401K company match of up to 5% - No vesting requirement
Adoption Assistance Program
Flexible Spending Account
Educational Assistance Plan and Professional Membership assistance
Referral Bonus Program – up to $750!