Product Management Senior Advisor – Regulated Markets Solutions - Express Scripts - Hybrid

Description Of Position

• The Senior Advisor provides leadership and strategic direction for capabilities and new product development within Regulated Markets. This individual will be responsible for the development and management of the Medicare Prescription Payment Plan (M3P) product. They will ensure their capabilities are compliant with the Center for Medicare and Medicaid Services (CMS) and state guidance/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.
  
  

Position Details

• 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
  
  

Qualifications

• Bachelor’s degree in related field or 5-8 years relevant experience
• Familiarity with pharmacy adjudication and other PBM operations
• Experience in managing products and capabilities in Medicare preferred
• 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
• Familiarity with industry standards organizations, preferably NCPDP and PCMA
• * * This is a hybrid role that requires the ability to work in office three days per week. * * *
  
  

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 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.