Product Management Advisor - Express Scripts - Hybrid

Cigna-posted 8 months ago
$92,800 - $154,600/Yr
Full-time • Mid Level
Hybrid • Saint Louis, MO
Insurance Carriers and Related Activities
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The Advisor Regulated Markets Audit Management role is responsible for coordinating the planning, execution and follow up for client and regulatory audit activities within Regulated Markets. This individual serves as a point of contact for various teams supporting audit activities. This position assists with the development and delivery of training to ensure audit readiness across the organization. Recruits and retains network of enterprise resources and collaborates with Client Audit, Compliance, Legal and other stakeholders to respond to State, Center for Medicare and Medicaid Services (CMS) and Client audit requests.

  • Reviews, evaluates and executes on new regulatory guidance.
  • Coordinates or leads responses to Audit related Request for Proposals.
  • Provides day-to-day oversight of Regulated Market audit activities.
  • Compiles and evaluates data on the functional performance of audit related activities.
  • Utilizes in-depth professional knowledge and acumen to develop models and procedures and monitor trends.
  • Assists with development of audit training.
  • Recruits and trains audit resource network.
  • Coordinates audit pipeline and resource support planning with Client Audit team.
  • Provides audit trend/issues insight to support audit preparation.
  • Provides direct audit support as needed.
  • Ensures timely documentation of audit outcomes using established tools and processes.
  • Supports analysis of audit findings, coordinates responses and prepares client communications.
  • 2 or more years' experience participating in regulatory and/or performance audits in a pharmacy benefit services or managed care environment.
  • 2 or more years participating in cross-functional projects.
  • 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 influence direction and action; build and leverage internal relationships.
  • Goal oriented and personally accountable; resourceful and self-directed.
  • Adaptable and flexible; open minded, innovative and creative - seeks ‘out of box' solutions.
  • 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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