The job profile for this position is Product Management Advisor, which is a Band 4 Senior Contributor Career Track Role.
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Product Management Advisor, Express Scripts
Description of Position:
The Product Management Advisor is responsible for supporting the Medicaid Encounter and Medicare prescription drug event (PDE) operational processes to ensure successful and accurate submissions. This position will ensure responsibility of monitoring the process and potential issues with file data directly affecting clients. Assists in developing, documenting and analyzing the process and recommending process improvements. Assists with Encounter and PDE reject analysis and remediation, in accordance with State guidance/regulations and Center for Medicare and Medicaid Services (CMS) and provide subject matter expertise to internal/external stakeholders, deliver presentations in account team/client forums, and ensure metrics and performance guarantees are met. Supports on client calls providing overview of the processes, statuses and answering client questions.
Position Details:
Analyzes trends and develops recommendations to ensure client needs, compliance metrics, and compliance objectives are met
Exhibit problem solving capabilities in a complex environment
Makes specific recommendations with rationale to leadership
Participate in cross-functional projects or work teams
Responsible for business documentation of compliance actions for routine guidance, execution of routine monitoring, or communication of client impacts internally
Ability to appropriately interact with clients/account teams including:
Day-to-day contact for issue resolution
Communicate information about their area of expertise to clients
Manage account team expectations and ensure appropriate follow-up
Qualifications:
College degree or equivalent experience preferred.
5 or more years work experience, preferably in business analysis.
Proficient in Microsoft Office products, specifically Excel
Ability to identify and extract appropriate data sets from various systems, proficient in collecting and analyzing large data sets
Analytical and detail oriented in all work activities/tasks, with a strategic perspective to enable the translation of metrics into trends, identification of improvement opportunities and root cause
Internal and External Customer focused in all activities
Excels working cross functionally, at all levels of the organization to own, drive, manage and continuously improve the processes, perform root cause analysis, and develop reporting, and communication processes
Innovator driven by Voice of the Customer to continuously enhance the value of our products and services to all internal and external customers.
Knowledge of PBM/healthcare industry or specialized business area
Ability to see business needs outside of one’s own work area
Ability to execute tactics under a strategic vision
Knowledge of Tableau dashboard reporting and SQL skills are highly desirable
Ideal candidates will offer:
College degree or equivalent experience preferred.
3 or more years relevant experience within a PBM setting
Knowledge of State and Federal regulations preferred
Experience in client/account team interaction
Proficient as a self-starter and detail oriented and proactive
Ability to communicate effectively in meetings
Ability to compose written communications for internal and external audiences
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an annual salary of 92,800 - 154,600 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.