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Pos ition Summary

Responsible for managing all aspects of pharmacy contractual guarantees. Advisor will conduct routine analysis on guarantee performance and make pharmacy pricing recommendations to management in order to meet the guarantees. Uses deep professional knowledge and acumen to advise functional leaders. Contributes to the development and improvement of financial analysis and forecasting analytical methodologies. Supports internal cross functional partners by delivering thorough data analyses. Provides detailed pricing analysis in support of contract negotiations. Recognized internally as a subject matter expert.

Job Responsibilities

• Monitoring, adjusting pricing and reporting of pharmacy guarantee performance

• Implementing SQL changes to daily Provider Guarantee's query used to track and measure Provider performance

• Supporting provider negotiations, financial modeling, and underwriting rate assumptions

• Reviewing pharmacy contracts and ensuring that all guarantees are accounted for and reconciled

• Monitoring and optimizing Provider Guarantee's Teradata databases

• Cross Functional support of internal business partners through ad hoc projects and analyses

• Analyzing current processes and identify areas of improvement

Qualifications

• Bachelor’s degree required (preferably in business, finance, accounting, mathematics, or statistics)

• 3 – 5 years of business experience in analysis, modeling, pricing and/or data management

• Experience with all MS Office applications

• 1-3 years of data warehouse and/or coding experience preferred (Python, C++, SQL, R)

• Experience with data tools such as Alteryx, Tableau, and Power BI preferred

• Thorough knowledge of PBM business model preferred

• Analytical, highly organized, able to work with little supervision, motivated to successfully meet deadlines, attention to detail and ability to multi-task

• Excellent oral and written communication skills

• Capability to prepare and present concepts and proposals to all levels of management

About the Department

If your niche is in financial reporting, data analysis, underwriting, cash management, or audit support our department may be a perfect fit for you. Our teams work together to ensure that we remain a profitable industry leader. We’re always on the lookout for innovative people who think outside the box to join our team

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.