Medicaid Quality Strategist Senior Advisor – Express Scripts – Remote

Are you passionate about working for a company on a mission to make health care more affordable, more personalized and more focused on helping the whole person achieve better health outcomes? Express Scripts is looking for a high-energy, positive individual to join our Regulated Markets team. The leadership and strategic direction you’ll provide will better educate our Medicaid clients on the products we offer and give their members’ access to health care options that fit their unique needs. Join us in our mission to change lives.

WHERE YOU’LL WORK

In your role, you will serve as the primary contact for Medicaid strategic initiatives and market development. You will become a subject matter expert (SME) on Medicaid drug coverage, Express Scripts Medicaid Programs and Products and State Regulations.

This client-facing position will collaborate with our health plan account teams and clients to support client needs associated with Medicaid regulation, Quality ratings, market and industry strategist perspectives. You will contribute to product development and offerings by providing industry and client perspective allowing for and assisting with definition and development of future opportunities for the Medicaid team.

The ideal candidate will be able to master complex and detailed Medicaid rules and regulations in a manner that allows for consultation, idea generation, compliance consulting, and strategic support. This person needs to have excellent relationship building skills as well as proven presentation and communication skills. The individual must be capable of thought leadership and strategic consulting with clients. This is an excellent career opportunity to join a dynamic team and to develop business skills to complement existing skills.

ESSENTIAL FUNCTIONS

• Upsell and renewal-related opportunities for applicable Medicaid products.
• Develop selling strategies that help differentiate Express Scripts and Evernorth in the marketplace
• Deliver market message to account teams and clients
• Demonstrate thought leadership
• Championing and Advocating Strategic Initiatives

• Relationship Management
• Client Support
• Executive Presence
• Ability to work in a dynamic business environment

QUALIFICATIONS

• Bachelor’s degree in related field (or equivalent work experience)
• 5-7 years of relevant experience (or 4-6 years of relevant experience with a Master’s degree)
• Strong knowledge of the PBM industryand Government Regulated Programs such as Medicare, Medicaid, HCR
• Strong communication skills, including presentations and documentation
• Advanced problem solving skills with the ability to work cross-functionally to resolve issues and generate results among potentially conflicting constituencies
• Demonstrated ability toresearch, analyze, handle multiple projectsand clientsat once and prioritize to meet deadlines required
• Ability to work towards specific deliverables within an environment of tight deadlines
• Excellent customer service skills required
• Some travel (up to 25%) 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.

For this position, we anticipate offering an annual salary of 115,800 – 193,000 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.