below marketmost similar roles pay hereabove market
This role pays less than
66%
of similar roles. Most pay
$205,000–$264,237
— the blue band above.
At the midpoint, this role pays about
$216k
versus about
$235k
for comparable roles.
Based on 240 similar postings.
Employer
About CVS Health
CVS Health is a leading American healthcare company operating retail pharmacies, pharmacy benefit management services, and a health insurance segment through Aetna, one of the nation''s largest health insurers. Industry: Healthcare & Pharmacy
CVS Health currently has
119 open roles
on FindRole.
Listed pay typically runs
$106,605–$260,590
across 115 roles with salary data.
The Medicare Claims Technology Product Management Director leads the technology product management team responsible for the strategy, roadmap, and modernization of platforms supporting claims administration for over 4 million Medicare members. This leader will establish product structures and practices to improve claims accuracy, automation, and reliability within a complex enterprise ecosystem. Key responsibilities include translating regulatory and operational needs into prioritized investments, managing strategic software vendor relationships, and coaching product management colleagues. The role requires expertise in the end-to-end claims lifecycle, including benefit interpretation, adjudication, and financial reconciliation. Candidates must demonstrate proficiency in cloud-based platforms, microservices architectures, and agile methodologies. The position solves critical business problems regarding claims processing efficiency, regulatory compliance, and large-scale technology modernization for Medicare Advantage programs.
Define and socialize the product vision, strategy, and roadmap for Medicare claims technology platforms.
Translate business, regulatory, and technology needs into prioritized investments and measurable outcomes.
Manage strategic software vendor relationships to align modernization priorities and hold partners accountable for performance.
Lead and coach product management colleagues to establish high-performing teams and a customer-centric culture.
Monitor product performance data to identify issues and develop insights regarding technical health and customer feedback.
Coordinate product launches, including beta testing, user feedback collection, and the creation of product documentation.
Facilitate cross-functional leadership teams to ensure business strategies are understood and socialized across all product teams.
Align roadmaps, backlogs, capacity, and timelines across multiple product areas to ensure timely delivery.
What we're looking for
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 accountability for product strategy and the full product lifecycle.
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 to build high-performing team cultures.
Ability to work primarily during Eastern Time business hours and support critical business or production needs when required.
Bachelor's degree or equivalent work experience.
Experience with Medicare Advantage claims, CMS requirements, and regulatory compliance (preferred).
Product management or Agile certifications (preferred).
Agile
Lean Product Development
Lean Portfolio Management
AI
Automation
Advanced Analytics
Data Analysis
Experience Design
Human Centered Design
Customer Communications Management
CCM
Roadmap Development
Journey Mapping
Process Engineering
KPI