Product Manager, Fraud & Abuse Analytics — Health
CVS Health
CVS Health in Hartford, Connecticut, is seeking a Product Manager for Fraud & Abuse to lead the development of critical products with a significant annual impact. The role involves driving enhancements, monitoring product performance, and leading a cross-functional team. Ideal candidates should have over 3 years of product management experience in healthcare, strong analytical skills, and the ability to influence cross-functional teams. The position offers a comprehensive benefits package and a competitive salary range. #J-18808-Ljbffr CVS Health
$171k - $249k
...Senior Business Product Owner The Senior Business Product Owner... ...primary business champion of the Analytics Product — owning the business... ..., and sustained adoption — managing stakeholder alignment, change... ...accident and supplemental health insurance, reinsurance, and life...SuggestedFull timeTemporary workLocal area$175.1k - $334.75k
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience... ...Summary We are seeking an Executive Director, PBM Analytics Product Management to lead and scale a high-impact analytics product portfolio...SuggestedHourly payFull timeTemporary workLocal areaImmediate start$225k - $325k
...BLCO) is a leading global eye health company dedicated to... ...comprehensive portfolio of over 400 products is fully integrated and built... ...portfolio prioritization, lifecycle management, and innovation planning to... ...+ Lomb's Job Offer Fraud Statement ( . Our Benefit...FraudTemporary workLocal areaRemote workWork visa$175.1k - $334.75k
CVS Health is seeking an Executive Director, PBM Analytics Product Management to lead a high-impact product portfolio. This role combines strategic product management with analytics, partnering with senior executives to deliver measurable business outcomes. The ideal candidate...Suggested$83.43k - $222.48k
Stryker Corporation is seeking a Product Manager to spearhead data governance within the Signify Health team. The successful candidate will define product vision and lead cross-functional collaborations to enhance data governance strategies. This role demands at least...Suggested$100.71k - $157.63k
The Bank Products and Services group provides a bank-... ...model. As a Data Product Manager, you will lead and... ...data needs. Excellent analytical and quantitative skills... ...processing, payments, and fraud management. Bonus... ...other insurance coverage; health savings, flexible...FraudWork experience placementWork at officeLocal areaRemote workFlexible hours$43.89k - $93.57k
...We're building a world of health around every individual shaping... ...potential billing errors, abuse, and fraud. Identify opportunities for... ...Experience with Microsoft products; Excel and Word Strong attention... ...skills Excellent analytical skills Two years or more...FraudHourly payFull time$101.97k - $203.94k
9025 CVS Shared Services Resources LLC is seeking a Product Manager for Payment Accuracy to oversee product growth impacting revenue and ROI in analytics. The ideal candidate will have over 3 years of product management experience, particularly in the healthcare sector,...$101.97k - $203.94k
Overview We’re building a world of health around every individual — shaping a more connected... ...at a time. Position Summary As a Product Manager for Payment Accuracy, you will oversee... ...impact the CVS Health Payment Optimization Analytics (POA) goals and contribute to achieving...Hourly payFull timeTemporary workWork experience placementLocal area- ...Product Manager, Consultant The Stellarus Product Management team defines technology products and brings them to market to help health plan customers improve cost, quality, experience, and growth... ...Define and evolve KPIs and product analytics (e.g., API uptime, latency,...Full timePart timeWork at officeLocal areaWork from homeHome office2 days per week
$186.9k - $308.3k
...Job Category Actuarial, Data Analytics Compensation Overview The... ...Business Insurance Actuarial Product CMP line lead and as the Business... ...implementation, rate plan management, disruption, post monitoring,... ...experience. What Is in It for You? Health Insurance : Employees and...Local area- ...findings to the Marketing Incidents Committee. Essential qualifications include an Associate's degree or relevant experience, strong analytical skills, and proficiency in Microsoft Office tools. The hiring range for this position varies based on location, with competitive...FraudRemote jobWork at office
$170k - $200k
...Guided by our mission to make the world's health data secure, accessible and actionable,... ...For We're looking for a Sr. Product Manager to lead the Requester Experience for... ...you'll work closely with engineering, analytics, operations, and commercial teams to build...$82.5k - $199.5k
...serves as the foundation for Oracle's health applications. By embedding generative and... ...seeking a highly motivated Principal Product Manager to drive the end-to-end development of... ...Familiarity with large datasets, analytics, and user engagement metrics Experience...Temporary workWorldwideFlexible hours- American International Group is hiring a Data & Reporting Senior Analyst to join the Fraud and Recovery Analytics team. This role involves global reporting, data management, and analytics support for Claims Fraud and Recovery. Key responsibilities include delivering insights...Fraud
$155.7k - $208.7k
5014 Disney Entertainment & Sports LLC is seeking a Senior Product Manager II to oversee measurement strategy and analytics for ESPN’s digital products. The role involves defining measurement standards and collaborating with engineering on implementation. Ideal candidates...$94.9k - $130.5k
...caring community and help us put health first Humana is a health and... ...our growth plans. The Digital Product Owner will report to the Director, Product Management. You will convey product vision... ...and interpreting these product analytics and use these insights to improve...Full timeTemporary workApprenticeshipRemote work- Mutual Capital Group, Inc. is seeking a Product Manager to support insurance product initiatives at Mutual Capital Analytics. The ideal candidate will combine product thinking with data-driven analysis, developing and improving analytical capabilities to enhance client...Remote job
- ...Product Manager - CDP Platform Anywhere Type: Contract-to-Hire Category: Product Management Industry: Insurance Workplace... ...have any indication of fraudulent activity, please contact fraud@eliassen.com . About Eliassen Group: Eliassen Group is...FraudHourly payContract workLocal areaRemote work
- Confluent is looking for a Staff Product Manager to lead the vision and strategy for its streaming analytics engine, integral to its real-time data platform. In this role, you will own product strategy, navigating technical complexities of cloud-native systems and collaborating...Remote job
$102.7k
...Summary This role supports the product's fundamental value... ...contact center ecosystem, you will manage the end-to-end product management... ...skills Adaptability Analytical and logical reasoning/thinking... ...comparative markets. Highmark Health and its affiliates prohibit discrimination...For contractorsWork at officeLocal area$144.2k - $288.4k
We're building a world of health around every individual - shaping a more connected,... ...a time. The Lead Director, Technology Product Management for our Claim Automation Portfolio will... ...Manager (GM), Design, Engineering, and Data/Analytics as part of the "Five in a Box" cross‑...Hourly payFull timeTemporary workWork experience placementLocal area- ...Product Manager - ISO Insulation Requisition ID: 16590 Location: TN, USSC, USNJ, USNH,... ...Manager is responsible for the strategic health, revenue, and profitability of the Polyisocyanurate... .... PROTECT YOURSELF FROM RECRUITMENT FRAUD The only way to apply for a position...FraudFull timeFor contractorsLocal areaRemote workFlexible hours
$115.4k - $251.6k
...Job Description About Oracle Health Applications & Infrastructure Oracle Health... .... We are looking for an experienced Product Manager to help define, prioritize, and deliver... ...through delivery and adoption. The Analytics Product Manager will be responsible for...Temporary workFlexible hours$231.5k - $272k
...Location Type: Remote Department Product Compensation: $231.5K - $272K -... ...together separate systems for streaming, analytics, and serving. Each of these systems come... ...single foundation. As a Staff Product Manager, you'll own the vision, strategy, and roadmap...Full timeRemote work$104k - $143k
...Become a part of our caring community The Senior Product Manager conceives, develops, delivers, and manages products for customer use.... ...integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with...Bi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$180.5k - $236.91k
...Finance. Oscar is the first health insurance company built... ...bonuses. Responsibilities: Manage the annual and quarterly tax... ...refine tax compliance and provide analytical insights. Compliance with... ...yourself from recruitment fraud here. At Oscar, being an Equal...FraudFull timeWork at officeLocal areaRemote work- ...client is seeking a Director of Analytics & Business Intelligence to... ...partnering cross‑functionally with Product, Marketing, Finance,... ...teams to identify potential fraud and AML risks through data analysis... ...: Proven ability to build, manage, and develop teams Business...Fraud
$110.47k - $237.93k
...will focus on utilization, quality and fraud waste and abuse review for individual cases for... ...review of ABA. Provide input into medical management programs/policies that pertain to neurodevelopmental... ...authorization clinical team and the health plan medical directors. Attends and...FraudHourly payFull timeTemporary workLocal area- ...centric network committed to simplifying health care and bringing a more connected... ...concerns to supervising pharmacist and manager in a timely manner. Follow the established... ...prescriptions Maintains Medicare Fraud, Waste, and Abuse guidelines and procedures Collects...FraudWork at officeLocal area
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