Job Description

Full job description

Position Summary

The Risk & Underwriting Advisor will partner with other Supply Chain teams and cross-functional stakeholders to strategize and deliver client-specific rebate modeling and guarantees for new and existing business. These teams include Rebate Analytics, Formulary Consulting, Rebate New Sales and Prospects Modeling, Negotiations, Sales & Account Management (SAM), Underwriting, among others. As a part of this team, the Advisor will work with leadership to identify and drive not only modeling improvements but also overall process improvements in the rebate and Supply Chain areas. Internally recognized and trusted as the rebate modeling subject matter expert along with his or her clinical sr. advisor peers.

Essential Functions

• Collaborate with SAM and Underwriting teams to understand current client financial position and rebate approach as well as strategic options for market checks and renewals.
• Ideate and propose strategic rebate optimization opportunities and understand long-term benefits and challenges associated with those optimization opportunities.
• Mentor Advisors and Lead Analysts to help support department training needs.
• Support team leadership by reviewing key / complex client rebate modeling and "translating" modeling primary components and assumptions into concise and understandable format and messaging for leadership reviews and Pricing Committee.
• Evaluate client data, create scenarios, and provide expert modeling and guidance for existing clients in alignment with department strategic objectives that drive value to both clients and Express Scripts.
• In collaboration with Clinical Account Executives, discuss any potential utilization management programs under evaluation to ensure that all modeling and requirements of these programs are accurately represented and in alignment with pharmaceutical rebate contract.
• Partner with clinical sr. advisor peers to analyze the financial impact of client requested formulary changes to both the client and Express Scripts.
• Strategize with cross-functional areas of Express Scripts, including but not limited to Account Management, Pricing, Product, Finance, and New Sales.
• Lead interdepartmental team calls as required to discuss rebate invoicing eligibility terms/conditions.
• Lead and / or assist in documenting best practices / SOPs for rebate modeling teams.
• Ensures optimization of work processes for rebate modeling strategies and achievement of department goals.
• Work on special projects and presentations as needed for the rebate modeling teams.

Qualifications

• Bachelor’s degree, Finance, Healthcare or related area/MBA a plus
• Clinical a plus; but not required
• 2+years relevant work experience
• Strong Leadership, Detail Oriented Organizational, and Analytical skills
• Proficient PC skills - including Excel, PowerPoint and MS Access, experience with database
• Financial modeling experience-preferred
• Familiarity with pharmaceutical rebate contracts a plus
• Proven ability to work in a fast paced - ever changing environment
• Excellent relationship building and cross functional 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.

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.

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.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Job Tags

Full time, Contract work, Work experience placement, Local area, Work from home,

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