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At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

As a Product Manager for Fraud, Waste & Abuse, you will oversee the maintenance and growth of specific FWA products, delivering over $75M in impact annually. Your work will directly impact the CVS Health Payment Optimization Analytics goals and contribute to achieving revenue & ROI targets for analytics products. To achieve this, you will be responsible for monitoring, modifying and deploying expansion to our FWA identification analytics program.

Key Duties will be:

+ Understand and know the roadmap and overall product strategy, serving as product and market specialist

+ Prioritize which new features in the backlog will be added to the product

+ Understand the customer needs and be able to interpret customer feedback

+ Develop and implement project plans to achieve business goals

+ Proactively support project and/or business by creating project documents, timelines that identify key milestones and additional resources needed on selected project(s)

+ Serve as the voice & champion of POA by driving the growth of the analytics program in a methodical & orderly manner with proper business controls and reporting built into the program

+ Identify gaps and recommend enhancements related to new and/or existing products, services and workflows based on a broad view of the organization

+ Work directly with vendors and business partners to resolve issues completely and in a timely manner

+ Facilitate project teams and present updates to leadership, influencing various internal (cross-functional/segment) and external parties (e.g., vendor management).

+ Identify issues that may stall project and address them by either direct resolution, creating an alternative solution, or escalation to leadership

+ Track progress and communicate project(s) status on a regular basis to all impacted parties.

+ Build communication plans for implementation to ensure all impacted parties (up stream/down stream) are informed of next steps for completion

+ Oversee vendor to ensure minimum service levels are maintained, quality work is performed, and financial targets are achieved

Required Qualifications

+ 3+ years of product management/ownership experience

+ 3+ years of product management skills such as developing roadmaps, driving deliverables, partnering with key stakeholders, and a strong technical knowledge of products and systems.

+ 3+ years of healthcare experience

Preferred Qualifications

+ Cross functional matrix partnership experience

+ Financial acumen

+ Agile, Lean and/or Six Sigma Project Management skills

+ Claims processing experience or End-to-End claims knowledge

+ Vendor management experience

Education

+ Bachelor's degree or equivalent work experience with healthcare, claims processing, or vendor management

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$92,700.00 - $185,400.00

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. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .

+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 05/30/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.