Product Management Advisor, Regulated Markets Express Scripts Hybrid

Description of Position:

• The Product Management Advisor will focus on managing Regulated Markets Capabilities. This position will ensure their capabilities are compliant with the Center for Medicare and Medicaid Services (CMS) regulations lead implementation of enhancements provide subject matter expertise to internal/external stakeholders deliver presentations in account team/client forums and ensure metrics and performance guarantees are met. This position will also support leading cross-functional initiatives that may be unrelated to the capabilities they own.

Position Details:

• Be the recognized Subject Matter Expert and product advocate with all cross-functional areas of the organization
• Understand and ensure compliance to CMS guidance and regulations
• Influence account teams clients and external industry workgroups (NCPDP/PCMA)
• Support the product development life cycle leveraging agile methodology partnering with Business and Technical Product Owners to communicate document and prioritize enhancements
• Develop and deliver product related training to clients and internal resources
• Analyze trends develop and implement recommendations to ensure client needs compliance metrics and/or internal support is met
• Ensure internal/external policies and procedures are documented maintained and followed
• Responsible for business documentation of compliance actions for routine guidance execution of routine monitoring and communication of client impacts
• Responsible for project scope project plan tracking project deliverables and communicating project status
• Appropriately interact with account teams and clients
• Support internal/external audits as the subject matter expert for your capabilities
• Understand and use system tools to research issues and concerns
• Ability to see and apply business needs outside of ones own work area
• Cross-train and support other team initiatives where appropriate

Qualifications:

• Bachelors degree in related field or 3 years relevant experience in managing products and leading projects in Medicare
• Familiarity with pharmacy adjudication and other PBM operations
• Experience in managing capabilities in Medicare and Medicaid preferred
• Strong strategic analytical problem solving and project management skills required
• Familiarity in reviewing and interpreting complex guidance and regulations
• Excellent presentation skills and experience presenting
• Effective communication with internal and external individuals in various functional areas and at various levels of management
• Strong learning skills and ability to adapt to changing environment
• Advanced MS Excel MS Access and SQL skills are highly desirable
• Familiarity with industry standards organizations preferably NCPDP and PCMA

About Evernorth Health Services

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.

If you require reasonable accommodation in completing the online application process please email: for support. Do not email for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama Alaska Arizona Arkansas Delaware Florida Georgia Hawaii Idaho Iowa Kansas Maryland Massachusetts Michigan Nebraska Ohio Pennsylvania Texas Utah Vermont and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal state and local ordinances.