Product Management Advisor - Express Scripts - Hybrid

Cigna Health and Life Insurance Company; St. Louis (MO); Hybrid; USD 92,000 - 155,000; Full time

Job summary

An established industry player is seeking a Product Management Advisor to oversee audit activities within Regulated Markets. This hybrid role requires strong collaboration skills and the ability to influence across teams. You will coordinate audit responses, develop training, and ensure compliance with regulatory standards. Join a forward-thinking organization that values innovation and offers a comprehensive benefits package, including health coverage and a 401(k) plan. This is a great opportunity for individuals looking to make an impact in a dynamic environment.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

401(k) with Company Match

Tuition Reimbursement

Paid Time Off

Paid Holidays

Life Insurance

Qualifications

• Experience in regulatory and performance audits in managed care.
• Strong attention to detail and ability to influence in a matrix environment.

Responsibilities

• Coordinate planning and execution of client and regulatory audit activities.
• Develop and deliver training for audit readiness across the organization.

Skills

Regulated Markets Knowledge

Audit Coordination

Process Mapping

Oral and Written Communication

Critical Thinking

Problem Solving

Team Collaboration

Adaptability

Education

Bachelor's Degree

2+ years in Regulatory Audits

Job description

Product Management Advisor - Express Scripts - Hybrid page is loaded

Product Management Advisor - Express Scripts - Hybrid

Apply remote type Hybrid locations St. Louis, MO Bloomfield, CT Bloomington, MN Morris Plains, NJ time type Full time posted on Posted 2 Days Ago job requisition id 25002873

Overview

The Advisor Regulated Markets Audit Management role is responsible for coordinating the planning, execution and follow up for client and regulatory audit activities within Regulated Markets. This individual serves as a point of contact for various teams supporting audit activities. This position assists with the development and delivery of training to ensure audit readiness across the organization. Recruits and retains network of enterprise resources and collaborates with Client Audit, Compliance, Legal and other stakeholders to respond to State, Center for Medicare and Medicaid Services (CMS) and Client audit requests.

Key accountabilities include (but not limited to):

• Reviews, evaluates and executes on new regulatory guidance. Coordinates or leads responses to Audit related Request for Proposals
• Provides day-to-day oversight of Regulated Market audit activities
• Compiles and evaluates data on the functional performance of audit related activities Utilizes in-depth professional knowledge and acumen to develop models and procedures and monitor trends
• Assist with development of audit training
• Recruits and trains audit resource network
• Coordinates audit pipeline and resource support planning with Client Audit team
• Provides audit trend/issues insight to support audit preparation
• Provides direct audit support as needed
• Ensures timely documentation of audit outcomes using established tools and processes
• Supports analysis of audit findings, coordinates responses and prepares client communications

Additional skills and experience

The ideal candidate will have Regulated Markets specific knowledge, experience working collaboratively across teams, strong attention to details and an ability to influence and drive work in a matrix environment.

Preferred experience:

• 2 or more years’ experience participating in regulatory and/or performance audits in a pharmacy benefit services or managed care environment

• 2 or more years participating in cross-functional projects

• Excellent process mapping and analysis skills
• Open communicator; excellent oral and written communication skills
• Ability to work effectively in dynamic, rapidly changing, team-based environment across multiple functions and in support of diverse regulatory obligations
• Critical thinker and creative problem solver, who exercises good judgment in resolving difficult situations, prioritizes and can balance needs with enterprise objectives
• Ability to work in a fast-paced deadline-driven environment, and juggle multiple, sometimes competing, priorities and requirements
• Ability to influence direction and action; build and leverage internal relationships
• Goal oriented and personally accountable; resourceful and self-directed
• Adaptable and flexible; open minded, innovative and creative – seeks ‘out of box’ solutions

* * * This is a hybrid role that requires the ability to work in person three days per week. * * *

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 92,800 - 154,600 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.

We want you to be healthy, balanced, and feel secure. That’s why 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) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group .

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 require reasonable accommodation in completing the online application process, please email: [e-mail] for support. Do not email [e-mail] for an update on your application or to provide your resume as you will not receive a response.

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.