Senior Advisor, Pricing Consultation

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1982

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare Insurance • Pharmaceuticals

The Cigna Group is a global health company committed to improving the health and vitality of its clients, customers, and patients. With its two divisions, Cigna Healthcare and Evernorth Health Services, the company focuses on enhancing quality of life through healthcare services and pharmacy benefits management. The Cigna Group is dedicated to ethical practices in healthcare and artificial intelligence, and strives to create positive change in the healthcare system. It also emphasizes its Environmental, Social, and Governance (ESG) responsibilities, aiming to impact health equity and foster innovation in healthcare delivery.

📋 Description

• Serve as PBM Pricing strategy expert for health plan clients, specifically focused in the ASO-Commercial space, interacting regularly with client leadership, as well as all levels of our internal organization • Provide ongoing consultation in the following areas to our Health Plan clients: New business pricing strategy; Existing client retention strategies and best practices; Consultant feedback loops and interaction roadmaps; Competitive intelligence, including evaluation of market dynamics; Pricing optics & bid analysis; PBM Contracting and RFP response best practice approaches; Various ongoing training activities with our clients • Being a thought leader within the Health Plan Growth team, empowering our broader team of with a variety of strategic pricing insights • A willingness to proactively engage with internal and external Underwriting, Sales, Operations and Finance partners to ensure strategic alignment and maximization of financial performance • Ability to understand new PBM products, programs and legislative impacts quickly, and confidently explain the value, risk or opportunity to all stakeholders

🎯 Requirements

• 7+ years of PBM Pricing/Underwriting or Consulting experience at a reputable firm required • 2+ years of client-facing experience, specifically in communication of complex financial analysis required • Intimate knowledge of PBM industry dynamics, including broker/consultant strategies, market trends and headwinds, competitive intelligence, and coalitions, among others • Strong presentation skills with an ability to articulate complex challenges in digestible terms, often to those with limited background in pharmacy pricing • Comfortability in making key decisions with limited or ambiguous information and fast turnarounds • Ability to think creatively to develop novel solutions to nuanced, complex problems • Excellent verbal and written communication skills • Detail oriented and organized, specifically regarding record keeping and note taking • Proficiency Excel and PowerPoint, with a familiarity of various BI tools such as SQL and bi query • History of demonstrating analytical rigor and problem-solving complex business cases • Intense focus on client service and retention results.

🏖️ Benefits

• medical, vision, dental, and well-being and behavioral health programs • 401(k) • company paid life insurance • tuition reimbursement • a minimum of 18 days of paid time off per year • paid holidays • leaves of absence