The Product Management Advisor position at Express Scripts is looking to solve the business problem of supporting Medicaid Encounter and Medicare prescription drug event (PDE) operational processes to ensure successful and accurate submissions, while also ensuring compliance with State guidance/regulations and Center for Medicare and Medicaid Services (CMS) regulations.
Requirements
- Proficient in Microsoft Office products, specifically Excel
- Ability to identify and extract appropriate data sets from various systems, proficient in collecting and analyzing large data sets
- Knowledge of Tableau dashboard reporting and SQL skills are highly desirable
- Knowledge of PBM/healthcare industry or specialized business area
- Ability to see business needs outside of one’s own work area
- Ability to execute tactics under a strategic vision
- Experience with client/account team interaction
Responsibilities
- Analyzes trends and develops recommendations to ensure client needs, compliance metrics, and compliance objectives are met
- Assists in developing, documenting and analyzing the process and recommending process improvements
- Assists with Encounter and PDE reject analysis and remediation, in accordance with State guidance/regulations and Center for Medicare and Medicaid Services (CMS)
- Makes specific recommendations with rationale to leadership
- Participate in cross-functional projects or work teams
- Responsible for business documentation of compliance actions for routine guidance, execution of routine monitoring, or communication of client impacts internally
- Supports on client calls providing overview of the processes, statuses and answering client questions
Other
- College degree or equivalent experience preferred
- 5 or more years work experience, preferably in business analysis
- Ability to communicate effectively in meetings
- Ability to compose written communications for internal and external audiences
- Internal and External Customer focused in all activities
