Job Description

Job Summary The Program Management Senior Advisor role will be responsible for the overall project management of key client initiatives. The role involves analyzing discrepancies, resolving issues and ensuring accurate and timely adjustments to the pharmacy benefit claims. This role will also work closely with internal partners and the client to resolve adjustments in a regulated market environment. The role supports the delivery of a strategic projects by providing expertise, governance and overall project management. Solves complex problems; takes a broad perspective to identify solutions. May lead functional teams or projects. Essential Responsibilities · Excellent PC skills including Microsoft Office tools and Internet experience; excellent verbal and written communication and presentation skills; Strong analytical and problem-solving skills. · Review adjustment data and assist with resolution of discrepancies · Collaborate with client and internal partners to resolve issues related to adjustments, address and resolve disputes and inquires · Prepare and submit reporting on adjustment activities and outcomes, requests and decisions · Knowledge of Express Scripts proprietary systems, products and processes a plus. · Engages all necessary ESI areas working cross functionally to ensure projects are effectively implemented to meet business need and minimize operational risk & disruption · Conducts presentations when needed on project background, project status and current issues · Proactively collaborates with other PM's when project deliverables overlap, or dependencies exist · Documents, tracks and manages project risks, mitigation strategies and contingency plans · Serves as a point of escalation for critical project issues requiring a high degree of expertise and/or discretion to ensure timely resolution · Identifies common issues, constraints and risks across the project · Effectively escalates project risks and areas requiring Senior Leadership intervention Skills and Attributes for Success · Critical thinker with project management experience and proven ability to lead and manage multiple projects simultaneously · Demonstrated ability to coordinate resources cross-functionally to resolve complex issues and deliver results on behalf of our partners and clients · Ability to work effectively in a dynamic team-based environment, learn quickly, solve problems and make decisions with minimal supervision · Willingness to work a flexible schedule during high-volume periods to accommodate business requirements · Strong organization and communication skills to meet timelines for initiatives involving multiple teams. Qualifications · High School Diploma required · Bachelor’s or Master’s degree preferred · 5 plus years Pharmacy Benefits Management/healthcare experience preferred · Knowledge of and experience in Pharmacy Benefits Management and Healthcare industries preferred · Project management experience required · Excellent organization skills with ability to multi-task and drive multiple priorities at the same time preferred · Strong prior knowledge of project management or program management execution preferred · Strong technical understanding to determine value, prioritization and/or critical problem- solving skills a plus · Excellent oral and written communication skills, including the ability to clearly and openly communicate status, issues/risks, and challenges presented to project, as well as ability to create clear and concise presentations required · Advanced problem-solving skills with the ability to work cross functionally to resolve issues and generate results among potentially conflicting constituencies preferred · Demonstrates advanced knowledge utilizing implementation tools preferred · Ability to effectively operate within a fast pace, dynamic organization preferred · Ability to effectively work within a complex, matrix environment preferred · Create a culture and team dynamic to maximize a team environment preferred · Ability to travel overnight required 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. 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: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances. 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.

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