Product Management & Implementation Principal – Evernorth - Remote (Coverage Review Organization)

Remote, USA Full-time
About the position The Principal roles leads strategic product development and innovation for the Coverage Review Organization (CRO), driving execution of coverage review solutions across pharmacy and medical benefit management. This role blends product management and implementation strategy to deliver seamless experiences for health plan partners and members, ensuring compliance, operational excellence, and client satisfaction. The position influences enterprise transformation, staying ahead of market trends, regulatory changes, and technology to maintain competitive, innovative strategies. It requires close collaboration with Pharmacy Benefit Services (PBS) product and clinical teams to co-create solutions, integrate clinical insights, and ensure excellence throughout the product lifecycle. Responsibilities • Define and execute product vision, strategy, and roadmap aligned with enterprise objectives and regulatory requirements. • Lead and support the end-to-end product lifecycle activities, including ideation, design, enhancements, and performance monitoring. • Utilize market insights, client feedback, and operational data to inform product innovation and continuous improvement. • Establish success metrics and KPIs for product performance and refine based on outcomes. • Oversee implementation of new products and enhancements across CRO, ensuring readiness of systems, workflows, and teams. • Develop structured implementation plans integrating compliance standards and client-specific requirements. • Partner with cross-functional teams (Operations, IT, Compliance, Clinical) to ensure timely and accurate delivery of solutions. • Serve as the primary escalation point for client readiness issues, driving resolution and maintaining strong relationships. • Influence long-term product roadmap decisions impacting pharmacy and medical drug authorization processes. • Represent CRO in enterprise forums, advocating for operational needs and client priorities. • Stay abreast of industry trends, emerging technologies, and best practices. • Conduct competitive analysis to ensure products are differentiated and deliver maximum value. Requirements • Bachelor’s degree in Pharmacy, Pharm.D. preferred, with current active U.S. Pharmacist License • Minimum of 10+ years in product management, client implementation and operations leadership within pharmacy benefit management. • Experience in Regulated Markets/CMS/Medicare/Medicaid • Proven track record of delivering complex product solutions and driving operational readiness at scale. • Strong knowledge of pharmacy and medical drug authorization processes, compliance standards, and payer/provider dynamics. • Exceptional leadership, communication, and stakeholder management skills. • 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. Benefits • 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 and paid holidays. Apply tot his job
Apply Now

Similar Jobs

Cigna Medicare Clinical Operations Intake Care Senior Representative

Remote, USA Full-time

LIMS Architect CIO KPop-Dallas (US152527)

Remote, USA Full-time

NCDIT Chief Information Officer (CIO) for the Department of Public Safety (DPS)

Remote, USA Full-time

Licensed Telephonic Counselor – Remote; FL License Required

Remote, USA Full-time

Clinical Program Advisor - Remote - Express Scripts (Academic Detailing)

Remote, USA Full-time

Chief Information Officer

Remote, USA Full-time

Chief Information Officer (CIO)

Remote, USA Full-time

Well-Being Strategist - Mid- Atlantic Remote

Remote, USA Full-time

Remote Inpatient Audit Specialist – PRN in USA

Remote, USA Full-time

CISO Director - Information Security

Remote, USA Full-time

**Experienced Full Stack Customer Service Representative – Remote Opportunity with blithequark**

Remote, USA Full-time

Remote Mail & Document Processor

Remote, USA Full-time

Part-Time Online Data Entry Specialist – Flexible Remote Work Opportunity with Competitive Pay and Immediate Hiring at blithequark

Remote, USA Full-time

Experienced Teenage Data Entry Clerk – Remote Part-Time Opportunity for High School Students to Earn Money Online from Home with arenaflex

Remote, USA Full-time

Clinical Research Associate – Study Research Nurse, Clinical Research Coordinator/SMO Coordinator Experience

Remote, USA Full-time

Experienced Data Entry Specialist for Remote Database Management and Airline Operations Support at blithequark

Remote, USA Full-time

Experienced Remote Live Chat Support Specialist – Home-Based Customer Service Representative with Comprehensive Training and Flexible Hours

Remote, USA Full-time

Experienced Live Chat Customer Support Agent – Flexible Remote Weekend Job Opportunity with Comprehensive Training and Competitive Pay

Remote, USA Full-time

**Experienced Full Stack Data Entry Specialist – Remote Database Management and E-commerce Operations**

Remote, USA Full-time

Experienced Financial Accounting Executive – Part Time Remote Opportunity for Data Entry and Financial Management at arenaflex

Remote, USA Full-time
Back to Home