Product Manager, Med-D

Company

Navitus

About Us

Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other.

Pay Range

USD $77,545.00 - USD $95,148.00 /Yr.

Work Schedule Description (e.g. M-F 8am to 5pm)

M-F 8am to 5pm

Remote Work Notification

ATTENTION: Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.

Overview

Due to growth, we are adding a Product Manager, Med-D to our Government Programs department.  

 

This position is responsible for providing product management for the Navitus Medicare Part-D program. The Product Manager (PM) will lead efforts to design, develop, implement, and oversee various Medicare Part-D processes that align with both client expectations and ensure Navitus is meeting compliance requirements as defined by the Centers for Medicare and Medicaid Services (CMS). The PM is responsible for reviewing and acting upon all CMS guidance related to these functions, including technical guidance as well as business process-related guidance. The PM ensures that the appropriate software, processes/procedures, and oversight monitoring, are implemented to meet these requirements. The PM must work closely with all key functional areas that administer the Medicare Part-D function. The PM provides support to the Sales, Clinical Services and Client Services departments. The PM will be responsible for day-to-day oversight of key partner relationships. This role requires both experience in project/product management, as well as deep knowledge of Medicare Part-D rules and regulations.

 

Is this you? Find out more below!

Responsibilities

How do I make an impact on my team? 

• Manages the development, implementation, and maintenance of Medicare Part-D processes for all Medicare Part-D clients. Develops the necessary project plans and leads projects that enhance the Medicare Part-D program
• Monitors and interprets CMS regulations, guidance, and system changes. Ensures the Medicare Part-D function meets all regulatory requirements. Aligns Navitus’ oversight programs with CMS’s “Best Practice” methodology
• Responsible for operational oversight of the Navitus MedicareRx (NMRx) product line. Provides direct functional support for NMRx member materials and client relationships. Coordinates operational and compliance related items with NMRx business partner and other Navitus departments as needed
• Responsible for operational regulatory oversight for services provided to Navitus Medicare D clients. Provides SME support to Navitus Client Services Executives representing the client
• Provides product support and expertise for NMRx client implementations and leads project management for existing client re-implementations
• Participates in kick off meetings, as needed, and serves as the SME for responsibility matrix review and CMS regulations
• Leads oversight for issue resolution. Engages Program Management and Regulatory and Adherence Manager with all non-compliance related issues and/or when obstacles arise. Plays an integral role in the execution of performance improvement plans and corrective action plans to address program deficiencies. Supports compliance efforts including CMS audits and client oversight audits
• Develops and continually improves strategies, objectives, and policies for the Medicare Part-D functions. Develops and maintains product documentation, including training materials. Develops, modifies, and improves business processes and policies through P&P’s
• Assists the Program Manager in reviewing and managing updates to contracts, ensuring content is in line with agreed upon services and CMS regulations
• Other duties as assigned

Qualifications

What our team expects from you?

• A minimum of a bachelor’s degree is required
• Experience and expertise in Medicare Part-D regulations and related client support is preferred
• Experience and expertise in government program compliance oversight and project management highly desired
• Additional background in business, finance or accounting desired
• Three to five years of relevant experience preferred
• Participate in, adhere to, and support compliance program objectives
• The ability to consistently interact cooperatively and respectfully with other employees

What can you expect from Navitus? 

• 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! 

#LI-Remote

Location : Address

Remote

Location : Country

US