[Remote] Product Manager, Government Services Products at CVS Health

United States

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Not SpecifiedCompensation

Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Health SolutionsIndustries

Requirements

3+ years of Pharmacy Benefit Management, Medicare Part D or Medicaid experience
1+ years of project management or business analyst experience including the management of complex requirements
1+ Experience with the RxClaim software system
Bachelor's degree

Responsibilities

Providing detailed and technical functional design requirements to internal and external business partners
Producing and maintaining business process documentation, such as policies and procedures, job aides and work instructions
Analyzing daily program reporting and RxClaim adjudication data to ensure program oversight
Identifying and reporting instances affecting performance guarantees and service level agreements
Providing root cause analysis through claim adjudication research and data trends
Supporting internal and external audits and ensuring audit responses are timely and accurate
Providing strategic guidance to internal and external business partners
Ensuring program compliance with all client & regulatory requirements
Maintaining effective work relationships
Developing and maintaining effective work relationships

Skills

Product Management

Business Requirements

Business Process Documentation

Data Analysis

Root Cause Analysis

Audit

Technical Functional Design

Stakeholder Management

CVS Health

Comprehensive pharmacy and healthcare services

About CVS Health

CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, and beauty items, as well as pharmacy benefits management and specialty pharmacy services. CVS Health's integrated business model allows them to serve individual consumers, businesses, and communities effectively, with a focus on improving health outcomes and reducing healthcare costs. Unlike many competitors, CVS Health combines pharmacy services with medical care, making it easier for patients to access quality healthcare. The company's goal is to enhance access to healthcare and support individuals in achieving better health.

Woonsocket, Rhode IslandHeadquarters

1963Year Founded

DEBTCompany Stage

Healthcare, Consumer GoodsIndustries

10,001+Employees

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

401(k) Retirement Plan

Company Equity

Wellness Program

Professional Development Budget

Paid Vacation

Paid Holidays

Risks

Legal challenges related to opioid prescriptions could harm CVS's reputation and finances.

The DOJ's intervention in a whistleblower lawsuit may increase legal costs for CVS.

The Horizon Organic Milk recall exposes potential vulnerabilities in CVS's supply chain.

Differentiation

CVS Health operates over 9,600 retail pharmacies and 1,100 walk-in clinics nationwide.

The company integrates pharmacy benefits management with specialty pharmacy services for comprehensive care.

CVS Health offers tailored medication plans through personalized medicine and pharmacogenomics.

Upsides

Expansion of telehealth services allows CVS to reach more patients remotely.

Increased consumer interest in wellness boosts demand for CVS's health-related products.

The trend towards value-based care aligns with CVS's integrated healthcare approach.

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