Product Management Advisor, Regulated Markets - Express Scripts - Hybrid

Product Management Advisor

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.

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 one's own work area

Cross-train and support other team initiatives where appropriate

Bachelor's 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

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.

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.

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.