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 Degree, Finance, Healthcare or related area/MBA a plus
Clinical a plus; but not required
5+ years relevant work experience preferred
Strong Leadership, Detail Oriented Organizational, and Analytical skills
Excellent PC skills - including Excel, PowerPoint and MS Access, experience with database
Financial modeling experience
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.
For this position, we anticipate offering an annual salary of 109,200 - 182,000 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, click here.
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 need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
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.
