Job description

Description of Position:
The Product Management Senior Advisor provides leadership and strategic direction for capabilities and new product development within Regulated Markets. This position 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. This position will also support leading cross-functional initiatives that may be unrelated to the capabilities they own.

Position Details:
Serve as the Regulated Markets business owner for specific capabilities.
Lead large initiatives for Regulated Markets to develop new capabilities and/or or enhance existing functionality.
Review and provide direction on CMS and state guidance/regulations to maintain compliance, partnering with Legal and Compliance
Communicate strategic recommendations for supported capabilities and execute tactics to deliver the strategic vision.
Be the Subject Matter Expert and capability advocate with all cross-functional areas of the organization.
Influence account teams, clients, and external industry workgroups (NCPDP/PCMA)
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.
Cross-train 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 capabilities in Medicaid and ACA Markets 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

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 103,700 - 172,800 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.

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