Product Management Senior Manager, Regulated Markets Solutions Express Scripts Hybrid
Job Location:
Saint Louis, MI - USA
Monthly Salary:
Posted:
Application Deadline:
Vacancies:
Job Summary
If you are a collaborative leader who enjoys solving complex challenges driving change and developing people wed love to hear from you.
- Lead and develop a team of Advisors and Senior Advisors responsible for Medicaid Encounter capabilities and operational excellence.
- Establish strategic direction that supports compliance client expectations operational performance and long-term business goals.
- Translate complex regulatory requirements into clear priorities business requirements and actionable solutions.
- Partner with business technical legal compliance and operational teams to deliver large-scale cross-functional initiatives.
- Guide product roadmaps and priorities using agile practices and a deep understanding of client and business needs.
- Analyze trends risks and opportunities to recommend improvements that strengthen performance and enhance client outcomes.
- Communicate recommendations and progress to leaders stakeholders clients and account teams.
- Act as a recognized expert in Medicaid Encounter programs and regulated market capabilities.
- Interpret regulatory guidance and help ensure compliant implementation across teams and processes.
- Represent the organization in client meetings industry forums audits and cross-functional discussions.
- Develop and deliver training that builds capability and supports organizational growth.
- Ensure policies procedures controls and monitoring activities are well documented and consistently followed.
- Oversee project plans deliverables timelines and communications to drive successful outcomes.
- Support issue resolution through data analysis system expertise and cross-functional collaboration.
- Foster a culture of continuous improvement learning accountability and teamwork.
- 5 years of experience in pharmacy benefit management (PBM) regulated markets healthcare operations product management or a related field.
- Experience leading people teams projects or large-scale business initiatives.
- Knowledge of pharmacy adjudication processes and PBM operations.
- Strong strategic thinking analytical problem-solving and project management skills.
- Ability to interpret complex regulations and translate them into business actions and operational requirements.
- Excellent verbal written and presentation skills including the ability to communicate complex information to diverse audiences.
- Demonstrated ability to influence stakeholders across multiple functions and levels of the organization.
- Proven ability to adapt learn quickly and drive results in a changing environment.
- Bachelors degree in Business Healthcare Administration Information Systems or a related field.
- Experience managing Medicaid Medicare or other regulated market capabilities.
- Experience leading large-scale healthcare regulatory or compliance-related initiatives.
- Familiarity with industry standards organizations and regulatory environments.
- Advanced skills in Microsoft Excel Microsoft Access SQL or related data analysis tools.
- Experience working within agile product development environments.
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 131400 - 219000 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.
At The Cigna Group 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) company paid life insurance tuition reimbursement a minimum of 18 days of paid time off per year paid holidays and leaves of absence. For more details on our employee benefits programs click here.
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:
Senior Manager
About Company
Cigna Healthcare offers health insurance plans such as medical and dental to individuals and employers, international health insurance, and Medicare coverage.
