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  • Product Management Advisor, Commercial Regulatory…

    The Cigna Group (St. Louis, MO)



    Apply Now

    Position Summary:

    The Product Advisor will be a resourceful professional responsible for supporting the Commercial Regulatory & Solutions team within the Regulated Markets Division. Responsibilities may include but are not limited to:

     

    + Support the review process and management of product specific and/or large-scale state commercial laws that impact the PBM and/or clients.

    + Facilitation of internal, cross-functional discussion to understand implications of the law on the business product/area, identify opportunities and create compliant solution(s).

    + Identification of functional areas within Express Scripts that are impacted by the State Laws.

    + Document next steps/action items for compliant solutions.

    + Implementation, surveillance and ongoing maintenance of State Commercial laws impacting Express Scripts and our client’s pharmacy benefit.

    + Initiate internal and external communications and training on the impact and solutions for state commercial laws.

    ESSENTIAL FUNCTIONS

    + Complete a business assessment of the regulation and document the law’s impact to Express Scripts and the actions required for compliance in the regulatory database.

    + Translating regulatory instructions into business requirements to support the law’s compliant solution.

    + Consult cross-functional partners on action and compliance plans, participate in designing compliant solutions and present to appropriate forums.

    + Create and maintain documentation (regulation “playbooks”, slide decks, etc.) for regulations to support Account Teams and enable a pathway for compliance for existing and future clients.

    + At times there may need to be new processes or technology to support compliance of state laws. If a technology project is needed this will include providing IT with the requirements to create new capabilities.

    + Fielding and responding to inquiries from internal partners (such as account/implementation teams, strategists) related to enacted state regulations.

    + Identifying and implementing process improvements when needed to meet compliance and/or stakeholder needs.

    + Communicate strategies and deliverables with internal teams (leadership/business areas/account teams) and external teams (client), efficiently and effectively.

    + End to end ownership of the assigned regulations, including surveillance, resolution of issues and maintenance.

    + Serve as Subject Matter Expert, providing guidance and consultation to clients and account teams on potential compliant solutions.

    + Manage state mandated oversight/compliance reporting requirements.

    + Provide Project Management support for large sweeping (Omnibus) state commercial laws, which impacts multiple business areas.

    QUALIFICATIONS

    + Bachelor’s degree in relevant discipline or relevant experience.

    + Juris Doctor (JD) degree preferred, but not required

    + Self-starter with strong problem-solving, critical thinking and multi-tasking abilities across various projects independently.

    + Strong PC computer skills including PowerPoint, Excel, Visio, and Word.

    + Excellent communication and presentation skills [written and verbal].

    + Must have a high level of organization and interpersonal skills, be comfortable with ambiguity and a dynamic and fast paced environment.

    + Maintain a high degree of professionalism in enterprise relationships and interpersonal interactions.

    PREFERRED SKILLS/QUALIFICATIONS

    State Commercial Regulations background preferred.

     

    + Background in business management, compliance and/or State Regulatory Law (strongly preferred)

    + PBM and/or Regulated Markets experience.

    + Project Management experience.

    + IT project experience.

     

    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:_ [email protected]_ _for support. Do not email_ [email protected]_ _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._

     


    Apply Now



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