Product Management Advisor, Regulated Markets - Express Scripts - Hybrid

Description of Position:


* The Product Management Advisor will focus on managing Regulated Markets Capabilities.

This position will ensure their capabilities are compliant with the Center for Medicare and Medicaid Services (CMS) 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:


* Be the recognized Subject Matter Expert and product advocate with all cross-functional areas of the organization


* Understand and ensure compliance to CMS guidance and regulations


* Influence account teams, clients, and external industry workgroups (NCPDP/PCMA)


* Support the product development life cycle leveraging agile methodology, partnering with Business and Technical Product Owners to communicate, document, and prioritize enhancements


* Develop and deliver product related training to clients and internal resources


* 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


* Appropriately interact with account teams and clients


* Support internal/external audits as the subject matter expert for your capabilities


* Understand and use system tools to research issues and concerns


* 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 3+ years relevant experience in managing products and leading projects in Medicare


* Familiarity with pharmacy adjudication and other PBM operations


* Experience in managing capabilities in Medicare and Medicaid preferred


* Strong strategic, analytical, problem solving, and project management skills required


* Familiarity in reviewing and interpreting 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...