Become a subject matter expert (SME) on Medicare Programs and CMS Guidance.
Contribute toward product development - help determine and define the future opportunities to the Medicare team. This involves:
-Medicare Market Landscape
Maintain current Medicare programs:
Work with Managed Care Team and Internal Medicare Team to support client needs and comply with CMS rules and regulations.
Work with cross-functional partners through the product development and operational support efforts.
Manage projects involving cross-functional teams (IT and business partners) working in effort to define new processes and product enhancements.
The ideal candidate will be able to manage workplans with numerous tasks to deadlines, perform research and analysis necessary to support major business decisions, work cross-functionally with various departments, set priorities and multi-task. This person should be analytical as well as creative, driven, and results-oriented. This is an excellent career opportunity to join a dynamic team.
1. Responsible for Medicare product enhancement. Manage cross-functional projects to enhance Medicare Part D Product Portfolio.
2. Interpret and operationalize CMS Guidance.
3. Responsible for Medicaid product enhancement. Manage cross-functional projects to enhance Medicaid Product Portfolio.
4. Work closely with Medicare colleagues to Project Manage the client issues related to the Medicare Products. Identify the core root cause issues and initiate a process improvement process. Initiate a QA process to insure a first time resolution of client issues.
-8+ years of related experienceProficiency in MS Office suite, problem solving skills, strong communication skills
-Knowledge of PBM or Healthcare industry a plus
-Ability to research, analyze, handle multiple projects at once and prioritize to meet deadlines required
Express Scripts is an Equal Employment Opportunity employer and does not discriminate in employment opportunities or practices on the basis of race, creed, color, religion, sex, national origin, nationality, ancestry, age, disability or status as a disabled veteran or veteran of the Vietnam era, pregnancy, affectional or sexual orientation, gender identity or expression, marital status, status with regard to public assistance, veteran status, citizenship or membership in any other legally protected class.
None of the questions in this application are intended to elicit information regarding any protected characteristics, nor imply any limitation, illegal preferences or discrimination based upon non-job-related information or protected characteristics.
Applicants must be able to pass a drug test and background investigation and, depending on position requirements, a Department of Defense background investigation. AA/EOE.
Express Scripts - 2 years ago
Express Scripts is a Fortune 25 company and is the largest pharmacy benefit manager in the U.S.