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Cigna Healthcare

Product Management Senior Advisor - ENCORE

Posted 3 hours ago
5-10 years experience
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AI Summary

The Senior Advisor provides strategic leadership for product support, focusing on regulatory reporting for current and prospective clients. They collaborate with cross-functional teams to ensure data accuracy, compliance with state regulations, and the development of reporting solutions.

*Please note this role is open to retirees of The Cigna Group only*


The Product Management Senior Advisor provides leadership and strategic direction in executing product support in collaboration with operational teams and account teams. This position will take a lead role in reporting support for State regulatory reporting for current clients as well as prospective clients.  Key responsibilities for this position include: Commercial regulatory reporting, financial audit support, tracking and maintaining standard and ad-hoc regulatory reporting needs as well as a key contributor to continuously improve quality controls, consistency and accuracy to ensure successful submission of regulatory reporting data.  This involves using extensive knowledge to support comprehensive regulatory reporting needs, manage work plans, perform data analysis, as well as work cross functionally as needed. 

 

ESSENTIAL FUNCTIONS

  • Coordinate with cross functional partners to provide surveillance and oversight reporting support for Express Scripts regulated market clients
  • Develop reporting solutions that help differentiate Express Scripts in the marketplace and align our interest with those of our clients and their members.
  • Collaborate with project teams to deliver a suite of accurate, timely and relevant reporting to our clients.
  • Create and assist in the documentation of business requirements which guide reporting application development efforts
  • Review and interpret State guidance/regulations to maintain compliance
  • Exhibit problem solving capabilities in a complex environment
  • Makes specific recommendations with rationale to leadership

 

QUALIFICATIONS

  • Bachelor’s degree in related field or five (5) years of experience
  • Knowledge of Medicaid regulations or experience with government regulation interpretation
  • Strong logic, deductive reasoning, problem solving and critical thinking skills
  • Able to synthesize data and simplify findings to solve client business issues
  • Excellent communication skills, including group presentation experience
  • Basic financial analysis skills
  • Demonstrated ability to prioritize and manage work load and meet project deadlines in complex situations
  • Knowledge of PBM or Healthcare industry preferred
  • Excellent customer service skills required
  • Demonstrated ability deliver improved efficiency in existing processes
  • Ability to manage data and data analytics using Tableau and SQL, a strong plus

 


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 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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