Product Management Lead Analyst – Express Scripts

Cigna Health and Life Insurance Company; Missouri; Remote; USD 60,000 - 100,000; Full time

Job summary

An established industry player seeks a Product Management Lead Analyst to drive key operations in regulated markets, focusing on enhancing member and client satisfaction. This role involves analyzing claims processing data, supporting client initiatives, and guiding junior professionals. The ideal candidate will possess strong analytical skills and technical knowledge in SQL and data visualization tools. Join a forward-thinking company dedicated to improving health and vitality through innovative solutions and collaborative teamwork.

Qualifications

• Bachelor's degree in a relevant field is essential.
• 1+ year experience in health plan or PBM setting preferred.

Responsibilities

• Analyze operational data related to claims processing and adjustments.
• Support initiatives aimed at member and client satisfaction.

Skills

SQL

Excel

Power BI

Tableau

Alteryx

Problem-solving skills

Communication skills

Process mapping and analysis

Education

Bachelor's Degree in Healthcare Administration or Business

Tools

Power BI

Tableau

Alteryx

Job description

Product Management Lead Analyst – Express Scripts

Product Management Lead Analyst – Express Scripts

Apply remote type: Remote | locations: Missouri | work at home | full time | posted on: Yesterday | job requisition id: 25003872

Product Management Lead Analyst – Centene Operations Management

The job profile for this position is Product Management Lead Analyst, a Band 3 Senior Contributor Career Track Role.

The Regulated Markets Centene Operations Management team ensures the execution of key operations for all regulated lines of business including Medicare, Medicaid, and Marketplace (Exchange / Health Care Reform). Responsibilities include pharmacy benefit management delegated tasks such as regulatory audits, issue management, adjustments, PDE/encounters reporting, and regulatory communications.

The Lead Analyst will analyze operational data related to claims processing, adjustments, and PDE/Encounters. They will also support initiatives aimed at member and client satisfaction, aligning with contractual support and retention goals. Additionally, the analyst may serve as a subject matter expert in client discussions.

Key Responsibilities:

• Provide expert input on complex assignments/projects.
• Work independently, requiring only expert-level support from others.
• Develop and support analytics of claims and adjustments data for client initiatives.
• Oversee timely completion of adjustments, ensuring accurate reporting of PDE (Medicare) and Encounters (Medicaid).
• Process adjustment requests according to client-specific procedures.
• Ensure accurate delivery, response management, and correction of PDE and Encounter reporting.
• Document activities in relevant systems.
• Support client PMO and account teams with communication needs, reports, and presentations.
• Analyze data on functional performance, develop models, monitor trends.
• Exercise judgment in selecting techniques and procedures.
• Lead portions of mid-size projects and guide junior professionals.

Ideal Candidates will offer:

• Bachelor’s Degree, preferably in Healthcare Administration or Business.
• At least one year of experience in a health plan or PBM setting; Medicare, Medicaid, and Marketplace experience is a plus.
• Technical knowledge of SQL, Excel, Power BI, Tableau; Alteryx experience is a plus.
• Ability to balance multiple projects and deadlines.
• Strong problem-solving and creative thinking skills.
• Consistent documentation and process follow-through.
• Ability to communicate technical concepts effectively to business partners.
• Experience working in a matrixed environment and leading cross-functional teams.

Other Essential Skills:

• Process mapping and analysis skills.
• Excellent communication skills.
• Ability to adapt in a dynamic environment and prioritize effectively.
• Influencing and motivational skills.
• Self-directed, resourceful, and goal-oriented.

Internet connection for remote work must be via cable broadband or fiber optic with at least 10Mbps download/5Mbps upload speeds.

About Evernorth Health Services

Evernorth, a division of The Cigna Group, provides pharmacy, care, and benefit solutions to enhance health and vitality. We innovate to make health management accessible and effective. Join us to drive growth and improve lives.

We consider all qualified applicants regardless of race, color, age, disability, sex, or other protected characteristics. For accommodations, contact: [e-mail].

The Cigna Group maintains a tobacco-free policy and may not hire tobacco/nicotine users in certain states unless participating in a cessation program. Criminal history considerations are in accordance with laws.

About The Cigna Group

We are committed to improving health and vitality through our divisions Cigna Healthcare and Evernorth Health Services. Join us in making a meaningful difference.