Product Management Advisor – Medicare Solutions Express Scripts Hybrid
Job Location:
Saint Louis, MI - USA
Monthly Salary:
Posted:
Application Deadline:
Vacancies:
Job Summary
Are you passionate about turning complex regulations into meaningful solutions that improve the customer experience As a Product Management Advisor you will play a key role in shaping and enhancing Medicare-focused capabilities while ensuring compliance operational excellence and client satisfaction. This is an opportunity to partner across the organization influence strategic initiatives and help deliver innovative solutions in a highly regulated environment. If you enjoy solving complex problems leading through collaboration and driving measurable results wed love to hear from you.
- Serve as the subject matter expert and trusted advisor for assigned Medicare and regulated market capabilities.
- Monitor and interpret CMS regulations and guidance translating requirements into actionable product enhancements and business processes.
- Lead implementation of Medicare Advantage Medicare Part D Medicare Part B and MOOP-related initiatives that support compliance and business goals.
- Partner with business and technical teams to prioritize design and deliver product enhancements using Agile methodologies.
- Analyze performance trends compliance metrics and client requirements to identify opportunities for improvement and recommend solutions.
- Ensure performance guarantees operational metrics and regulatory expectations are consistently achieved.
- Support internal and external audits by providing documentation insights and subject matter expertise.
- Document project scope timelines deliverables risks and status updates to keep stakeholders informed and aligned.
- Develop and deliver training presentations and communications for clients account teams and internal partners.
- Establish and maintain policies procedures and business documentation that support compliance and operational consistency.
- Partner across functional areas to solve complex business challenges and contribute to strategic initiatives beyond assigned products.
- Support cross-training efforts and share expertise to strengthen team capabilities and organizational readiness.
- 3 years of experience in product management project leadership Medicare operations healthcare health insurance PBM operations or a related field.
- Experience reviewing interpreting and applying complex regulatory requirements or business guidance.
- Understanding of Medicare Advantage Medicare Part B Medicare Part D and/or MOOP regulations.
- Strong analytical problem-solving and project management skills.
- Ability to collaborate effectively across teams and influence stakeholders at varying levels of the organization.
- Strong written verbal presentation and documentation skills.
- Experience managing multiple priorities in a fast-paced environment.
- Bachelors degree in Business Healthcare Administration Pharmacy Information Systems or a related field.
- Experience with pharmacy benefit management (PBM) operations including pharmacy adjudication processes.
- Knowledge of the healthcare health insurance or PBM industry.
- Experience supporting Agile product development practices.
- Advanced proficiency with Microsoft Excel Microsoft Access and SQL.
- Familiarity with industry organizations and standards including NCPDP and PCMA.
- Experience presenting to clients account teams or senior business leaders.
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.
About Evernorth Health Services
Evernorth Health Services a division of The Cigna Group creates pharmacy care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.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 need a reasonable accommodation to complete the online application process please email for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
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.
Required Experience:
Unclear Seniority
About Company
Cigna Healthcare offers health insurance plans such as medical and dental to individuals and employers, international health insurance, and Medicare coverage.
