Medicaid Product Management Advisor - Express Scripts - Hybrid

Express ScriptsMorris Plains, NJ
87d$92,800 - $154,600Hybrid

About The Position

Join our dynamic Regulated Markets team as a Product Management Advisor, primarily supporting Medicaid and HealthCare Reform. This position sits within the Regulated Markets Benefits, Claims, and COB Solutions team reporting to the Product Management Senior Manager. You'll play a pivotal role in driving strategy, planning, and execution for key claims processing functions and transformative projects. This is your opportunity to make a meaningful impact on healthcare delivery, compliance, and operational excellence.

Requirements

  • Bachelor's degree in a related field or equivalent work experience.
  • Knowledge of PBM or healthcare industry is preferred.
  • Knowledge of Medicaid/HIM regulations or experience interpreting government regulations preferred.
  • Build and maintain strong business partnerships across diverse stakeholder groups.
  • Demonstrate analytical thinking, strategic planning, and effective problem-solving.
  • Adapt quickly to changing business needs and thrive in dynamic environments.
  • Take initiative and drive results, even in ambiguous situations.
  • Collaborate effectively within teams and across functions to deliver solutions.
  • Communicate clearly, listen actively, and ensure mutual understanding.
  • Exhibit resilience by recovering quickly from setbacks and maintaining focus under pressure.
  • Show courage by challenging the status quo and making tough decisions when needed.
  • Prioritize customer needs, delivering value to clients and internal partners.
  • Act with integrity, instilling trust and confidence in others.
  • Embrace new challenges and learn rapidly from experience.
  • Value and leverage diverse backgrounds, perspectives, and viewpoints.

Responsibilities

  • Own and support products within Regulated Markets, focusing on claims processing and strategic initiatives.
  • Lead strategy, planning, and execution for assigned projects, partnering with IT and business stakeholders.
  • Monitor product performance, ensure compliance, and resolve errors through proactive surveillance and analysis.
  • Recommend process improvements, system upgrades, and technology enhancements to leadership.
  • Support account teams, clients, and internal partners with expert product knowledge and issue resolution.
  • Present data and insights confidently to diverse audiences, driving consensus and informed decision-making.
  • Anticipate needs, plan ahead, and manage multiple priorities independently.

Benefits

  • Comprehensive health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
  • 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.

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What This Job Offers

Job Type

Full-time

Career Level

Senior

Industry

Ambulatory Health Care Services

Education Level

Bachelor's degree

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