Clinical Product Manager, Medicaid

Due to growth, we are adding a Product Manager, Medicaid Clinical Services to our team!

The Product Manager, Medicaid Clinical Services will be responsible for managing both existing products and new product development for assigned clinical and strategic products. The Product Manager will manage and coordinate the execution for certain Medicaid clinical programs and products. Under direction, the Product Manager (PM) will be responsible for managing the tactical operations for existing Medicaid clinical products/program (e.g. HEDIS reporting, Pharmacoadherence, Star Rating Tool, Drug Management Program, CDUR edits, Clinical Intervention Programs, and PMUR etc).

Is this you? Find out more below!

How do I make an impact on my team?

Ensure the timely and flawless execution of Medicaid clinical program mailings, reporting and interventions.
• Measure key performance indicators (e.g. uptake, clinical outcomes, mailing costs, mail return rate, ROI, Star Ratings and trends, revenue, etc.) for assigned clinical products and communicate areas of improvement.
• Assess product capacity for managing new clients.
• Participate in Medicaid clinical product development and execute the product roadmap within scope, time and budget.
• Develop a keen understanding of Medicaid clinical products in the PBM industry in order to work collaboratively to expand product offerings, refine current product positioning and develop key messages for both existing and potential clients.
• Assist in analyzing the products performance, position, and utility for our clients and their members.
• Ensure assigned Medicaid clinical products meet all regulatory requirements.
• Communicate with key cross-functional areas (Clinical Engagement Center, IT, Population Health, Customer Care, Finance, Client Services, and Clinical Services) about product executions in a timely and effective manner.
• Participate in the development of marketing materials related to Medicaid clinical services.
• Conduct opportunity analyses for prospective and/or current clients in consultation with the Clinical Account Executives or GCS Leadership.
• Articulate the clinical and technical aspects of the program and its benefit to our clients and members.
• Develop and continually improve strategies, objectives and policies for the assigned products / programs, and establish and monitor high performance standards and productivity measures / targets.
• Assure appropriate testing has been conducted by staff for any system/app enhancement or break-fix.
• Other duties as assigned.

What our team expects from you?

• Bachelor's degree or equivalent work experience required.
• CPhT preferred.
• 2+ years of experience in product management, product development, or project management required.
• Experience in health, biomedical, pharmaceutical, or related industries preferred
• Medicaid 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!

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