Top 19 Product manager, fraud & abuse Jobs in Springfield, Il

Product Manager, Fraud & Abuse
CVS Health —Springfield, IL
- $92,700 - $203,940 a year
- Full-time
- Mid-level
- 3 years
- Bachelor's degree
- Health insurance
- Dental insurance
Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Springfield, IL
- $43,888 - $93,574 a year
- Full-time
- Microsoft Word
- Spanish
- Microsoft Excel
- Health insurance
- Dental insurance
Product Manager
Advanced Monitored Caregiving Inc. —Springfield, IL
- $110,000 - $135,000 a year
- Full-time
- Remote
- Mid-level
- 3 years
- Product management
Sr Mgr, Product Manager (Aetna One Advocate)
CVS Health —Springfield, IL
- $106,605 - $260,590 a year
- Full-time
- Analysis skills
- Bachelor's degree
- Continuous improvement
- Health insurance
- Dental insurance
9d
Senior Product Manager, Healthcare Contact CenterDigital Product
CVS Health —Springfield, IL
- $106,605 - $260,590 a year
- Full-time
- Presentation skills
- Bachelor's degree
- Product management
- Health insurance
- Dental insurance
6d
Product Owner
Teachers Retirement System of the State of Illinois —Springfield, IL
- $88,672 - $138,328 a year
- Full-time
- Computer science
- Computer Science
- SQL
- Health insurance
- Dental insurance
Senior Business Architect [Product Owner Proxy]
Krasan Consulting Services Inc —Springfield, IL
- $60 - $65 an hour
- Full-time
- Remote
- SQL
- Analysis skills
- Senior level
Quick Apply
Assistant Attorney General - Medicaid Fraud - Springfield
Office of the Illinois Attorney General —Springfield, IL
- $84,480 - $107,550 a year
- Full-time
- Mid-level
- Travel
- Disability insurance
- Health insurance
Group Product Manager, Digital Commerce & Marketing Products
CLEAResult Consulting Inc. —Springfield, IL
- $141,900 - $212,900 a year
- Full-time
- 7 years
- Product management
- Mentoring
- Health insurance
- Dental insurance
Quick Apply
Product Information Management (PIM) Specialist II
Broan NuTone —Springfield, IL
- Full-time
- Remote
- Marketing
- ERP systems
- Mid-level
- Wellness program
- Disability insurance
Quick Apply
Senior Business Analyst / Product Owner
Crowe —Springfield, IL
- $80,900 - $160,300 a year
- Full-time
- 5 years
- Analysis skills
- US work authorization
Quick Apply
7d

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Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Columbus, OH
The Special Investigations Unit (SIU) Investigator conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare…
$43,888 - $93,574 a year
PRODUCT MANAGER - REMOTE
Palco —Columbus, OH
Bachelor’s degree in Accounting, Business, Computer Science, Project Management, or related field is preferred. Employer shared Health Insurance cost.

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product manager, fraud & abuse jobs near springfield, il

Product Manager, Fraud & Abuse

CVS Health -
Springfield, IL

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Job Details

Full-time
$92,700 - $203,940 a year

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

AI models
Roadmap creation (System development task)
Requirements specification
Requirements design
Business strategy analysis
AI tools proficiency
Machine learning projects
Requirements analysis
Requirements management
Data interpretation
Product strategy
Project stakeholder communication
Cross-functional communication

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

As a Product Manager for Fraud & Abuse, you will lead the ongoing development and expansion of key Fraud, Waste, and Abuse (FWA) products that deliver over $200M in annual impact. In this role, you will directly support CVS Health’s Payment Optimization Analytics objectives, contributing to the achievement of revenue and ROI targets for analytics products. You will be responsible for monitoring product performance, driving enhancements, and overseeing the deployment and scaling of advanced FWA analytics capabilities.

Key Duties will be:

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

Required Qualifications

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

Preferred Qualifications

Experience in Payment Integrity, with a focus on Fraud, Waste, & Abuse (FWA)
Strong financial acumen, with the ability to assess business impact and drive value-based decisions
Experience working within Agile product management frameworks and methodologies
Working knowledge of healthcare claims processing, including end-to-end claims lifecycle

Education

Bachelor's degree or equivalent work experience with healthcare, claims processing, or vendor management

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$92,700.00 - $203,940.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 08/31/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

product manager, fraud & abuse jobs in springfield, il

Product Manager, Fraud & Abuse

Investigator, Special Investigations Unit (Aetna SIU)

Product Manager

Sr Mgr, Product Manager (Aetna One Advocate)

Senior Product Manager, Healthcare Contact CenterDigital Product

Product Owner

Senior Business Architect [Product Owner Proxy]

Assistant Attorney General - Medicaid Fraud - Springfield

Group Product Manager, Digital Commerce & Marketing Products

Product Information Management (PIM) Specialist II

Senior Business Analyst / Product Owner

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