Medicaid Product Management Advisor Express Scripts Hybrid

Product management advisor regulated markets hybrid

The job profile for this position is Product Management Advisor which is a Band 4 Senior Contributor Career Track Role.

Excited to grow your career

We value our talented employees and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you we encourage you to apply!

Our people make all the difference in our success.

position summary

Join our dynamic Regulated Markets team as a Product Management Advisor primarily supporting Medicaid and HealthCare Reform. This position sits within the Regulated Markets Benefits Claims and COB Solutions team reporting to the Product Management Senior Manager. Youll play a pivotal role in driving strategy planning and execution for key claims processing functions and transformative projects. This is your opportunity to make a meaningful impact on healthcare delivery compliance and operational excellence.

essential functions

• Own and support products within Regulated Markets focusing on claims processing and strategic initiatives.
• Lead strategy planning and execution for assigned projects partnering with IT and business stakeholders.
• Monitor product performance ensure compliance and resolve errors through proactive surveillance and analysis.
• Recommend process improvements system upgrades and technology enhancements to leadership.
• Support account teams clients and internal partners with expert product knowledge and issue resolution.
• Present data and insights confidently to diverse audiences driving consensus and informed decision-making.
• Anticipate needs plan ahead and manage multiple priorities independently.

Qualifications

• Bachelors degree in a related field or equivalent work experience.
• Knowledge of PBM or healthcare industry is preferred.
• Knowledge of Medicaid/HIM regulations or experience interpreting government regulations preferred.
• Build and maintain strong business partnerships across diverse stakeholder groups.
• Demonstrate analytical thinking strategic planning and effective problem-solving.
• Adapt quickly to changing business needs and thrive in dynamic environments.
• Take initiative and drive results even in ambiguous situations.
• Collaborate effectively within teams and across functions to deliver solutions.
• Communicate clearly listen actively and ensure mutual understanding.
• Exhibit resilience by recovering quickly from setbacks and maintaining focus under pressure.
• Show courage by challenging the status quo and making tough decisions when needed.
• Prioritize customer needs delivering value to clients and internal partners.
• Act with integrity instilling trust and confidence in others.
• Embrace new challenges and learn rapidly from experience.
• Value and leverage diverse backgrounds perspectives and viewpoints.

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

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.