Senior Product Manager, Fraud & Abuse

This is a fully remote position, open to applicants in Connecticut.

📋 Description

• Lead the continuous development and growth of Fraud, Waste, and Abuse products, achieving over $200M in annual impact.

• Support CVS Health’s objectives in Payment Optimization Analytics, focusing on revenue and ROI targets for analytics products.

• Own and define the product vision, strategy, and performance metrics.

• Identify and prioritize opportunities for AI/ML integration.

• Convert market trends, user insights, and competitive intelligence into clear product direction.

• Manage a cross-functional team comprising data engineers, data scientists, and ideation team members.

• Define and document the team's challenges, priorities, and trade-offs.

• Develop and maintain product roadmaps, backlogs, sprint plans, and demonstration materials.

• Facilitate stakeholder meetings, sprint planning sessions, working sessions, and product demonstrations.

• Assess advancements in AI/ML for their relevance to the product portfolio.

• Establish and track product performance, adoption rates, and business-impact KPIs.

• Create data-driven business cases to secure stakeholder alignment and financial backing.

• Ensure timely and high-quality delivery of product enhancements that meet business and technical specifications.

⛳️ Requirements

• 4+ years of experience in product management or product ownership.

• 3+ years of experience in the healthcare industry.

• Proven experience in managing product roadmaps and defining product requirements.

• Demonstrated ability to influence and collaborate effectively across cross-functional teams and with senior stakeholders.

• Ability to navigate ambiguity, translating evolving business objectives into clear, prioritized initiatives.

• Experience utilizing AI/ML technologies to generate measurable business value.

• Capability to analyze complex data and convert insights into actionable product strategies and business decisions.

• Bachelor's degree or equivalent work experience in healthcare, claims processing, or vendor management.

• Preferred: Experience in Payment Integrity, specifically focusing on Fraud, Waste, & Abuse (FWA).

• Preferred: Strong financial acumen, with the ability to evaluate business impact and drive value-based decision-making.

• Preferred: Experience working within Agile product management frameworks and methodologies.

• Preferred: Knowledge of healthcare claims processing, including the entire claims lifecycle.

🏝️ Benefits

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources supporting physical, emotional, and financial well-being.

• CVS Health bonus, commission, or short-term incentive program.

• Equity award program.