Regulated Markets Product Management Advisor Express Scripts Hybrid

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 ones 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

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. Thats why youll enjoy a comprehensive range of benefits with a focus on supporting your whole health. Starting on day one of your employment youll 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 Group.

About Evernorth Health Services