Product Management Lead Analyst - Express Scripts - Hybrid

The Regulated Markets Services team is responsible for ensuring the execution of key operations accountabilities associated with all regulated lines of business including Medicare, Medicaid, and Marketplace (Exchange / Health Care Reform).

The team supports Pharmacy Benefit Management (PBM) delegated responsibilities associated with Call Center and Grievances oversight, regulatory audit support, issue management and analytics.

The Lead Analysts' primary role will be to support Call Center and Grievance functions as it relates to the Medicare Prescription Payment Plan (M3P) supporting initiatives to ensure member/client and internal satisfaction and alignment with both regulatory and client contractual support.

When necessary the analyst will also provide functional SME support to client facing discussions.

Key Responsibilities:


* Provides advanced professional input to complex assignments/projects.


* Works autonomously, only requiring "expert" level technical support from others.


* Facilitates the intake, triage, root cause analysis, mitigation, impact analysis and closure of all client issues associated with regulatory compliance of Call Center and Grievances


* Promotes the tracking and documentation of all team activities in associated systems


* Supports the M3P Product Team and Account Teams with function specific communications needs via account team/client inquiry requests, Field Alert development, deliverable reports and presentations


* Compiles and evaluates data on the functional performance.

Utilizes in-depth professional knowledge and acumen to develop models and procedures and monitor trends.


* Exercises judgment in the evaluation, selection, and adaptation of both standard and complex techniques and procedures.


* May assist, coordinate or lead portions of mid-size projects.

Supports and provides direction to more junior professionals.



* Exhibits proven ability to work cross-functionally in development and execution of operational plans aligned to enterprise goals and in support of the needs of our clients.


* Exercises considerable creativity, foresight, and judgment in conceiving, planning, and delivering initiatives.


* As necessary, follows audit support processes to notify to Express Scripts of client audit needs, facilitate Client/Express Scripts preparation and support for audit scope and document completion of all audit deliverables and findings

Ideal Candidates will offer a combination of the following:


* Bachelor's Degree with a preferred focus of Health Care Administration or Business


* At least one year experience in a health plan or PBM setting.

Medicare, Medicaid and Marketplace experience a plus.


* Able to balance high priority, long-term projects with short-term, immediate deadlines


* Creative thinker and exceptional problem solving skills


* Ability to follow processes and document information consistently and timely to meet obligations...