As a Product Management Senior Manager, you will lead a team responsible for Medicaid Encounter capabilities that support accurate, compliant, and timely submissions. This is an opportunity to shape strategy, guide high-performing teams, influence enterprise decisions, and help deliver solutions that make a difference for clients, members, and healthcare partners.If you are a collaborative leader who enjoys solving complex challenges, driving change, and developing people, we'd love to hear from you.
ResponsibilitiesDrive Product and Business Outcomes- Lead and develop a team of Advisors and Senior Advisors responsible for Medicaid Encounter capabilities and operational excellence.
- Establish strategic direction that supports compliance, client expectations, operational performance, and long-term business goals.
- Translate complex regulatory requirements into clear priorities, business requirements, and actionable solutions.
Influence Strategy and Execution- Partner with business, technical, legal, compliance, and operational teams to deliver large-scale cross-functional initiatives.
- Guide product roadmaps and priorities using agile practices and a deep understanding of client and business needs.
- Analyze trends, risks, and opportunities to recommend improvements that strengthen performance and enhance client outcomes.
- Communicate recommendations and progress to leaders, stakeholders, clients, and account teams.
Serve as a Trusted Subject Matter Expert- Act as a recognized expert in Medicaid Encounter programs and regulated market capabilities.
- Interpret regulatory guidance and help ensure compliant implementation across teams and processes.
- Represent the organization in client meetings, industry forums, audits, and cross-functional discussions.
- Develop and deliver training that builds capability and supports organizational growth.
Strengthen Operational Excellence- Ensure policies, procedures, controls, and monitoring activities are well documented and consistently followed.
- Oversee project plans, deliverables, timelines, and communications to drive successful outcomes.
- Support issue resolution through data analysis, system expertise, and cross-functional collaboration.
- Foster a culture of continuous improvement, learning, accountability, and teamwork.
QualificationsRequired Qualifications- 5+ years of experience in pharmacy benefit management (PBM), regulated markets, healthcare operations, product management, or a related field.
- Experience leading people, teams, projects, or large-scale business initiatives.
- Knowledge of pharmacy adjudication processes and PBM operations.
- Strong strategic thinking, analytical, problem-solving, and project management skills.
- Ability to interpret complex regulations and translate them into business actions and operational requirements.
- Excellent verbal, written, and presentation skills, including the ability to communicate complex information to diverse audiences.
- Demonstrated ability to influence stakeholders across multiple functions and levels of the organization.
- Proven ability to adapt, learn quickly, and drive results in a changing environment.
Preferred Qualifications- Bachelor's degree in Business, Healthcare Administration, Information Systems, or a related field.
- Experience managing Medicaid, Medicare, or other regulated market capabilities.
- Experience leading large-scale healthcare regulatory or compliance-related initiatives.
- Familiarity with industry standards organizations and regulatory environments.
- Advanced skills in Microsoft Excel, Microsoft Access, SQL, or related data analysis tools.
- Experience working within agile product development environments.
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 131,400 - 219,000 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.
At The Cigna Group, 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), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, .
