Cigna - St. Louis, MO

posted 3 months ago

Full-time - Mid Level
Hybrid - St. Louis, MO
5,001-10,000 employees
Insurance Carriers and Related Activities

About the position

The Product Management Lead Analyst at Express Scripts plays a crucial role in supporting the Call Center and Grievance functions related to the Medicare Prescription Payment Plan (M3P). This position is responsible for ensuring compliance with regulatory requirements while enhancing member and client satisfaction. The Lead Analyst will work autonomously on complex projects, provide subject matter expertise, and facilitate communication between various teams to support operational goals.

Responsibilities

  • Provides advanced professional input to complex assignments/projects.
  • Works autonomously, requiring only 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.
  • Follows audit support processes to notify 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.

Requirements

  • 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.
  • Ability 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.
  • Able to translate technical data concepts to business partners for understanding and alignment.
  • Proven ability to function in a heavily matrixed environment.
  • Extensive knowledge of Microsoft Office products (particularly Excel, Word, Power Point, etc.).
  • Experience leading projects and working with cross functional teams, especially Business and Marketing communications teams.

Nice-to-haves

  • 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 motivate, influence and connect others.
  • Goal oriented and personally accountable; resourceful and self-directed.
  • Adaptable and flexible; open minded, innovative and creative - seeks ‘out of box' solutions.

Benefits

  • Smoking cessation program
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