Product Manager, Fraud & Abuse

CVS Health

Product Manager driving the evolution of Fraud & Abuse products generating significant annual impact at CVS Health. Leading cross-functional teams to enhance AI/ML capabilities and monitor product performance.

Posted 6/3/2026full-timeConnecticut, Illinois, Massachusetts, Minnesota, New York • 🇺🇸 United StatesMid-LevelSenior💰 $92,700 - $203,940 per yearWebsite

About the role

Key responsibilities & impact

Own the product vision, strategy, and performance, ensuring delivery of measurable business value and alignment with organizational goals
Identify and prioritize opportunities to integrate AI/ML capabilities into products to enhance accuracy, efficiency, and scalability
Translate market trends, user feedback, and competitive intelligence into actionable product direction, monitoring shifts to identify emerging opportunities and risks
Lead a cross-functional squad of data engineers, data scientists, and ideation team members, managing competing priorities and perspectives to keep the squad focused and moving forward
Define and document the "what" and "why" for the squad, including setting the problem, shaping priorities, and making tradeoffs clear
Develop and maintain core product artifacts including roadmap, backlog, sprint plans, and demo materials
Facilitate key forums including stakeholder sessions, sprint planning, working sessions, and product demos
Continuously evaluate advancements in AI/ML and assess applicability to enhance the product portfolio
Establish and monitor KPIs related to product performance, adoption, and business impact
Develop compelling, data-driven business cases for new product capabilities and enhancements, securing stakeholder alignment and financial investments to support strategic priorities
Ensure high-quality, timely delivery of product enhancements that meet defined business and technical requirements

Requirements

What you’ll need

3+ years of experience in product management or product ownership
3+ years of experience within the healthcare industry
Demonstrated experience managing product roadmaps and defining product requirements
Proven ability to influence and collaborate effectively across cross-functional teams and senior stakeholders
Ability to operate in ambiguity, translating evolving business objectives into clear, prioritized initiatives
Experience leveraging AI/ML technologies to drive measurable business value
Ability to analyze complex data and translate insights into actionable product strategy and business decisions
Bachelor's degree or equivalent work experience with healthcare, claims processing, or vendor management

Benefits

Comp & perks

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs
comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

product managementproduct ownershipAI/ML technologiesdata analysisproduct roadmap managementproduct requirements definitionKPI establishmentbusiness case developmentsprint planningbacklog management

Soft Skills

influencecollaborationoperating in ambiguityprioritizationstakeholder alignmentcommunicationleadershipproblem-solvingcross-functional team managementdata-driven decision making