Position Summary :
The Pharmacy Benefit Financial Analyst serves as a key strategic partner within the Cigna Healthcare Pharmacy Underwriting Organization supporting the development and execution of Broker Roadmaps. The roadmaps are essential tools that enable efficient and effective pharmacy underwriting aligned with enterprise financial goals and broker this role you will work collaboratively with Cigna Pharmacy Sales and Account Management (CPSAM) Pharmacy Underwriting (RxUW) and the Cigna Healthcare Consultant Relations Department (CRD) to drive the optimization of pharmacy pricing aligned with broker strategies with a specific focus on Broker Roadmaps. The Senior Advisor is responsible for maintaining the accuracy and relevance of broker roadmaps analyzing broker-specific requests generating competitive responses to RFPs and RFIs communicating key changes to broker roadmaps and strategies to the RxUW team and working with CRD to determine how certain brokers are financially evaluating our pharmacy pricing proposals. The primary goal of your responsibilities is to ensure that RxUW and CPSAM are armed with the most up-to-date broker financial preferences and competitive intelligence so RxUW can formulate the most compelling financial offering to brokers to win and retain integrated medical and pharmacy benefits business and effectively defend against pharmacy carve-out threats. A secondary but no less important goal of your responsibilities is to lead and / or support projects that enable the RxUW team to effectively and efficiently underwrite cases. These projects include but are not limited to enhancements to the underwriting tools advise on / incorporate enhanced / new product(s) into existing underwriting tools and collaborate with the Pricing Proposals and Growth Strategies Teams to effectuate changes that positively influence the pharmacy underwriting process and our pharmacy pricing competitiveness.
Key Responsibilities :
Understand PBM marketplace pricing optics with specific emphasis on broker-specific preferences for each optic.
Become an expert on broker-specific financial evaluations.
Ability to dissect competitors financial proposals to perform SWOT analyses on our own pharmacy pricing strategies.
Conduct thorough research to inform and enhance broker roadmaps ensuring that content remains current accurate and strategically aligned.
Maintain broker roadmaps currency by updating information tracking industry trends and incorporating feedback from internal stakeholders and external competitive intelligence resources.
Communicate updates and changes regarding broker roadmaps to RxUW and CPSAM ensuring transparency and alignment across teams.
Collaborate actively with the Cigna Healthcare CRD to share insights coordinate strategy and strengthen broker engagement.
Analyze broker-specific requests and partner with management to develop and implement effective response strategies that maximize opportunities and address client needs.
Review broker RFPs and RFIs working closely with internal stakeholders to craft and deliver competitive compelling responses that address broker requirements.
Engage and participate in projects and product development initiatives that are impactful to the RxUW process to ensure RxUW process remains efficient and aligned with strategic objectives.
Willingness to learn and understand how our pharmacy pricing is memorialized in ASO client contracts.
Support broader organizational goals by contributing broker-focused expertise to cross-functional initiatives and projects.
Qualifications :
5 years of relevant experience preferred.
General understanding of pharmacy benefits industry and PBM pricing and supply chain is required
2 years of experience in pharmacy benefits underwriting preferred.
General knowledge of the pharmacy benefits broker landscape is preferred.
Excellent written and verbal communication skills including the ability to present complex information to diverse audiences and maintain executive presence.
Strong analytical and modeling skills with a proven ability to assess value trade-offs and support strategic decision-making.
dynamics and financial implications with desire to become an expert.
Ability to take initiative deliver results and work effectively under pressure and tight deadlines.
Bachelors degree in Healthcare Business Finance Economics Communications or a related field;
Willingness to travel up to 20%.
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 106800 - 178000 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.
We want you to be healthy balanced and feel secure. Thats why youll enjoy a comprehensive range of benefits with a focus on supporting your whole health. Starting on day one of your employment youll be offered several health-related benefits including medical vision dental and well-being and behavioral health programs. We also offer 401(k) with company match company paid life insurance tuition reimbursement a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs visit Life at Cigna Group.
About The Cigna Group
Doing something meaningful starts with a simple decision a commitment to changing lives. At The Cigna Group were dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services we are committed to enhancing the lives of our clients customers and patients. 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 : for support. Do not email 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.
Required Experience :
IC
Key Skills
Cognos,Forecasting,Hyperion,Microsoft Access,Pivot tables,Accounting,Analysis Skills,Microsoft Excel,Financial Analysis,Financial Modeling,Budgeting,Financial Planning
Employment Type : Full-Time
Experience : years
Vacancy : 1
Pharmacy Benefit • Bloomfield, Connecticut, USA