CVS Health is seeking to improve member, provider, and payer experiences, as well as enhance internal stakeholder efficiencies through the design, delivery, and optimization of digital solutions for the Meritain.com portal.
Requirements
- Strong knowledge of healthcare payer operations (claims, eligibility, enrollment, prior authorization, provider networks).
- Experience working in Agile/Scrum environments, including backlog grooming, sprint planning, and release management.
- Experience with digital health platforms, member portals, or provider-facing tools.
- Product Owner/Product Management certification (e.g., CSPO, SAFe PO/PM).
- Experience with data analysis and interpretation.
- Knowledge of HIPAA, CMS, NCQA, and other relevant healthcare insurance regulations.
- Experience with automation, personalization, and digital adoption technologies.
Responsibilities
- Define and communicate the product vision, roadmap, and strategy aligned with business objectives, compliance requirements, and customer needs.
- Create, prioritize, and manage the product backlog, translating business and user requirements into clear epics and user stories.
- Partner with Scrum Masters, developers, and QA teams to drive agile delivery and ensure timely release of features.
- Leverage data, user feedback, and market research to enhance digital self-service, claims transparency, provider search, member portals, and mobile applications.
- Identify opportunities for automation, personalization, and digital adoption to improve engagement and satisfaction.
- Ensure digital products adhere to HIPAA, CMS, NCQA, and other relevant healthcare insurance regulations.
- Define KPIs and success metrics to measure adoption, satisfaction, and ROI.
Other
- Minimum 3–5 years of experience as a Product Owner, Product Manager, or similar role in healthcare insurance or a highly regulated industry.
- Bachelor’s degree preferred/specialized training/relevant professional qualification
- Excellent communication, collaboration, and stakeholder management skills.
- Ability to work in a fast-paced environment and prioritize multiple tasks and projects.
- Ability to travel (not specified, but may be required)
