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

Qualifications

Ideal candidates will offer

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 92,800 - 154,600 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.

We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll 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

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 require reasonable accommodation in completing the online application process, please email : SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com 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.

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