[Hiring] Medicare Claims Technology Product Management Director @CVS Health

Role Description

The Lead Director, Technology Product Management for Medicare Claims is accountable for shaping the strategy, roadmap, performance, and modernization of the technology products and platforms that support claims administration for more than 4 million Medicare members.

• Help establish and mature the product structure, practices, accountabilities, and cross-functional ways of working needed to improve claims accuracy, automation, timeliness, reliability, compliance, and operating efficiency.
• Partner closely with business, engineering, data, architecture, operations, and delivery leaders, as well as strategic software vendor partners.
• Translate claims, regulatory, operational, and technology needs into prioritized investments, aligned roadmaps, and measurable outcomes.
• Influence vendor roadmaps, align modernization priorities, manage critical dependencies, and hold internal and external partners accountable for product performance and business outcomes.
• Lead and develop product management colleagues, strengthen product capabilities, and help teams evolve from project- and delivery-oriented practices toward sustained accountability for product and business outcomes.

Qualifications

• 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 demonstrated 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 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.

Requirements

• Experience with Medicare Advantage claims, including CMS requirements, benefit configuration, provider reimbursement, claims accuracy, payment integrity, and regulatory compliance.
• Demonstrated 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 to improve claims outcomes.
• Experience leading product strategy and execution for large-scale technology modernization initiatives involving cloud-based platforms, microservices architectures, legacy-system transformation, and complex enterprise dependencies.
• Demonstrated 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, including roadmap alignment, performance expectations, dependencies, and accountability for outcomes.
• Experience leading product or operating-model transformation within a large, matrixed enterprise.
• Demonstrated use of data, quantitative analysis, and product performance measures to inform decisions and prioritize investments.
• Working knowledge of cloud platforms, modern software architectures, and emerging technologies, including AI and machine learning.
• Product management or Agile certifications.

Education

• Bachelor's degree or equivalent work experience.

Pay Range

The typical pay range for this role is: $144,200.00 - $288,400.00. This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

Benefits

• Comprehensive and competitive mix of pay and benefits.
• Medical, dental, and vision coverage.
• Paid time off.
• Retirement savings options.
• Wellness programs and other resources, based on eligibility.