Product Management Lead Analyst - Express Scripts - Hybrid

Product Management Lead Analyst - Centene Operations Management

This is a hybrid role and will require the ability to work in person.

The job profile for this position is Product Management Lead Analyst, which is a Band 3 Senior Contributor Career Track Role.

The Regulated Markets Centene Operations Management team is responsible for ensuring the execution of key operations accountabilities associated with all regulated lines of business including Medicare, Medicaid, and Marketplace (Exchange / Health Care Reform).

The team supports Pharmacy Benefit Management (PBM) delegated responsibilities associated with regulatory audit support, issue management, adjustment processing, Prescription Drug Event (PDE)/encounters reporting and regulatory communications.

The Lead Analyst will support analytics of operational data, specific to claims processing, adjustments, and PDE/Encounters for the client.

The role will also support initiatives to ensure member/client satisfaction, alignment with client contractual support and client retention.

When necessary the analyst will also provide functional SME support to client facing discussions.

Key Responsibilities:


* Provides advanced professional input to complex assignments/projects.


* Works autonomously, only requiring "expert" level technical support from others.


* Develop and support analytics of claims, adjustment, and PDE/Encounter data to support client initiatives


* Oversee the timely completion of all adjustments aligned with client specific request processes and accurate delivery, response management and correction of client PDE (Medicare) and Encounter (Medicaid) reporting


* Process completion of all adjustment requests aligned with client specific request processes


* Ensure accurate delivery, response management and correction of client PDE (Medicare) and Encounter (Medicaid) reporting


* Promotes the tracking and documentation of all team activities in associated systems


* Supports the client Project Management Office (PMO) and Account Teams with function specific communications needs via account team/client inquiry requests, Field Alert development, deliverable reports and presentations


* Compiles and evaluates data on the functional performance.

Utilizes in-depth professional knowledge and acumen to develop models and procedures and monitor trends.


* Exercises judgment in the evaluation, selection, and adaptation of both standard and complex techniques and procedures.


* May assist, coordinate or lead portions of mid-size projects.

Supports and provides direction to more junior professionals.



* Exhibits proven ability to work cross-functionally in development and execution of operational plans aligned to enterprise goals and in support of the needs of our clients.


* Exercises considerable creativity, foresight, and judgment in conceiving, planning, and delivering initiatives.

Ideal Candidates will offer:


* Bachelor's Degr...