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Product Management Senior Advisor – Express Scripts

Product Management Senior Advisor – Express Scripts

CompanyCigna Group
LocationBloomington, MN, USA, Morristown, NJ, USA, St. Louis, MO, USA, Hartford, CT, USA
Salary$110700 – $184500
TypeFull-Time
DegreesBachelor’s
Experience LevelSenior

Requirements

  • Bachelor’s degree in related field or 5-8 years relevant experience
  • Familiarity with pharmacy adjudication and other PBM operations
  • Strong strategic, analytical, problem solving, and project management skills required
  • Skilled in review and interpretation of 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

Responsibilities

  • Serve as the Regulated Markets business owner for the Medicare Prescription Payment Plan (M3P) product
  • Review and provide direction on CMS guidance/regulations to maintain M3P product compliance, partnering with Legal and Compliance
  • Support account teams and clients on all components of the M3P product
  • Collaborate closely with the Regulated Markets Team responsible for M3P operations as well as cross-functional teams like benefits, communications, finance, prescription drug event (PDE), and others to define requirements and ensure the product is functioning appropriately
  • Ensure client M3P intent setup is accurate within multiple internal systems
  • Develop and deliver training to clients and internal resources
  • Oversee the product development life cycle leveraging agile methodology, partnering with Business and Technical Product Owners to communicate, document, and prioritize enhancements
  • 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
  • Support internal/external audits as the subject matter expert for your capabilities
  • Ability to see and apply business needs outside of one’s own work area
  • Crosstrain and support other team initiatives where appropriate

Preferred Qualifications

  • Experience in managing products and capabilities in Medicare preferred
  • Familiarity with industry standards organizations, preferably NCPDP and PCMA