Product Management Lead Analyst, Med D Plan Finder - Express Scripts - Remote
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AI Summary
Product Management Lead Analyst, Medicare Plan Finder Operations
Help Shape the Medicare Member Experience
Are you someone who enjoys bringing structure to complex processes, solving problems, and collaborating across teams to deliver meaningful results? The Medicare Plan Finder team is looking for a Product Management Lead Analyst to help support critical regulatory, operational, and client-facing activities that impact Medicare members and clients nationwide.
In this role, you'll work across Product, Account Management, Operations, Compliance, and Regulatory teams to ensure accurate submissions, successful Open Enrollment execution, clear stakeholder communications, and continuous process improvement. If you're energized by working in a fast-paced environment where attention to detail and collaboration make a real difference, we'd love to hear from you.
Responsibilities
Drive Accurate and Timely Regulatory Operations
- Support CMS and HPMS submission activities by coordinating data collection, validation, quality reviews, and issue resolution.
- Help ensure submissions are completed accurately and on time across multiple plan years and business priorities.
- Monitor findings, trends, and corrective actions to support compliance and operational excellence.
- Contribute to ongoing submission validation and post-submission performance monitoring.
Support Successful Open Enrollment Execution
- Coordinate and validate data received from internal and external partners to support Open Enrollment readiness.
- Partner with stakeholders to deliver key milestones, reduce risks, and maintain execution timelines.
- Support testing, implementation activities, and operational readiness efforts.
Deliver Meaningful Reporting and Insights
- Maintain CMS-related reporting and operational performance metrics.
- Provide reporting and analysis that helps business partners make informed decisions and improve outcomes.
- Identify trends, risks, and opportunities for improvement across Plan Finder operations.
Enhance Stakeholder and Client Communications
- Develop and coordinate Field Alerts and operational communications related to Medicare Plan Finder updates and CMS guidance.
- Partner with cross-functional stakeholders to ensure communications are timely, accurate, and actionable.
- Support client-facing communications that strengthen transparency and stakeholder confidence.
Manage Requests and Operational Support Activities
- Serve as a key coordinator for intake requests, inquiries, and operational support needs.
- Track requests through completion and help ensure timely resolution across stakeholder groups.
- Support Government Programs Intake Requests (GPIR) through coordination, documentation, and communication.
Improve Processes and Operational Effectiveness
- Identify opportunities to improve efficiency, reporting accuracy, quality, and team effectiveness.
- Develop and maintain process documentation, job aids, trackers, and reference materials.
- Support continuous improvement initiatives that enhance the Medicare Plan Finder experience for clients, members, and internal partners.
Required Qualifications
- 3+ years of experience in Medicare, regulated markets, healthcare operations, compliance, pharmacy benefit management (PBM), product support, or a related field.
- Strong Microsoft Excel skills, including data analysis, reporting, tracking, and management of complex datasets.
- Demonstrated ability to manage multiple priorities and deadlines while maintaining accuracy and attention to detail.
- Strong written and verbal communication skills with the ability to work effectively across teams and stakeholder groups.
- Proven ability to analyze information, solve problems, and drive work forward in a fast-paced environment.
- Ability to work independently while building strong collaborative relationships to achieve shared goals.
Preferred Qualifications
- Experience supporting CMS, HPMS, Medicare Plan Finder, or regulatory submission processes.
- Experience supporting Open Enrollment or other large-scale operational initiatives.
- Experience with reporting, analytics, compliance monitoring, or operational performance tracking.
- Working knowledge of Microsoft Access or similar database tools.
- Experience managing shared mailboxes, intake workflows, or service request processes.
- Experience leading or supporting process improvement initiatives.
- Bachelor's degree in Business, Healthcare Administration, Public Health, Information Systems, or a related field.
- Demonstrated ability to learn and apply emerging technologies, including Microsoft Copilot and other productivity tools.
Why Join Our Team?
This is an opportunity to contribute to highly visible work that supports Medicare compliance, client satisfaction, and operational excellence. You'll collaborate with experienced professionals, strengthen your expertise in a complex and evolving regulatory environment, and play a meaningful role in improving the experience of Medicare members and clients while continuing to grow your own skills and career.
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 76,100 - 126,900 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.
At The Cigna Group, 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), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.
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 need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
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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