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Rebate Strategy

3 months ago

St Louis, Missouri, United States The Cigna Group Full time
The job profile for this position is Financial Analysis Senior Advisor, which is a Band 4 Senior Contributor Career Track Role.

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About the Department
Supply Chain - Pharma Strategy & Contracting combines the coordination and management of the company's key supplier groups under a single management team. Major suppliers include brand and generic pharmaceutical manufacturers, retail pharmacies and drug wholesalers.

Express Scripts, a leading pharmacy benefit manager with the nation's largest mail order-pharmacy operations, assists its customers to moderate the cost and enhance the quality of prescription drug benefits provided to members nationwide. Its customers include private- and public-sector employers and healthcare organizations.

Job Summary

The Senior Advisor, Strategy & Financial Analysis will partner with other Supply Chain teams and cross-functional stakeholders to strategize and deliver client-specific rebate modeling optimization for both market checks and renewals (both standard and custom formularies). 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 Senior 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 their Clinical Senior 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 senior 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
  • At least 3-5 years relevant work experience
  • Strong Leadership, Detail Oriented Organizational, and Analytical skills
  • Excellent PC skills – including Excel, PowerPoint and MS Access, experience with database (SQL)
  • 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.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.

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