Program Management - Senior Advisor - Express Scripts - Hybrid

Job Summary

The Program Management Senior Advisor role will be responsible for the overall project management of key client initiatives.

The role involves analyzing discrepancies, resolving issues and ensuring accurate and timely adjustments to the pharmacy benefit claims.

This role will also work closely with internal partners and the client to resolve adjustments in a regulated market environment.

The role supports the delivery of a strategic projects by providing expertise, governance and overall project management.

Solves complex problems; takes a broad perspective to identify solutions.

May lead functional teams or projects.

Essential Responsibilities

• Excellent PC skills including Microsoft Office tools and Internet experience; excellent verbal and written communication and presentation skills; Strong analytical and problem-solving skills.

• Review adjustment data and assist with resolution of discrepancies

• Collaborate with client and internal partners to resolve issues related to adjustments, address and resolve disputes and inquires

• Prepare and submit reporting on adjustment activities and outcomes, requests and decisions

• Knowledge of Express Scripts proprietary systems, products and processes a plus.

• Engages all necessary ESI areas working cross functionally to ensure projects are effectively implemented to meet business need and minimize operational risk & disruption

• Conducts presentations when needed on project background, project status and current issues

• Proactively collaborates with other PM's when project deliverables overlap, or dependencies exist

• Documents, tracks and manages project risks, mitigation strategies and contingency plans

• Serves as a point of escalation for critical project issues requiring a high degree of expertise and/or discretion to ensure timely resolution

• Identifies common issues, constraints and risks across the project

• Effectively escalates project risks and areas requiring Senior Leadership intervention

Skills and Attributes for Success

• Critical thinker with project management experience and proven ability to lead and manage multiple projects simultaneously

• Demonstrated ability to coordinate resources cross-functionally to resolve complex issues and deliver results on behalf of our partners and clients

• Ability to work effectively in a dynamic team-based environment, learn quickly, solve problems and make decisions with minimal supervision

• Willingness to work a flexible schedule during high-volume periods to accommodate business requirements

• Strong organization and communication skills to meet timelines for initiatives involving multiple teams.

Qualifications

• High School Diploma required

• Bachelor's or Master's degree preferred

• 5 plus years Pharmacy Benefits Management/healthcare experience preferred

• Knowledge of and experience in Pharmacy Benefits Management and Healthcare industries preferred

• Pr...