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Senior Advisor, Pricing Consultation

4 months ago

Philadelphia, United States The Cigna Group Full time

Job Description

Senior Advisor - Employer Pricing Strategy Health Plan Division

POSITION SUMMARY

Looking for a high energy individual with extensive PBM pricing expertise, an ability to facilitate change, a desire for substantial career growth, and competitive drive to win and grow new business.

The Express Scripts Health Plan Growth Team is dedicated to helping our Health Plan partners Win, Retain, and Grow pharmacy lives in their respective employer group markets. This is accomplished by being change agents within our partner organizations and eliminating hurdles to ensure our partners maximize the value of their PBM relationship, grow their businesses, and offer cutting edge pharmacy benefits to their sub client populations.

The Health Plan Growth Senior Advisor is a vital part of a team that is tasked with building all aspects of employer group pricing strategy and deployment for our Health Plan partners. The Senior Advisor will be a key leader on a team of pricing consultants and strategists serving as a PBM pricing expert for our health plan partners in all aspects of PBM strategy at a variety of organizational levels, including within the C-Suite. This role requires constant surveillance of pricing trends in the employer space, as well as the broader landscape including legislative actions, and new market entrants. The Senior Advisor will work closely with the Health Plan Division underwriting organization to build and oversee a pricing platform that administers employer group level pricing,

If you want a growth opportunity and have what it takes to thoughtfully engage at the executive level, go deep on pricing strategy, and develop new processes; this role is for you.

ESSENTIAL FUNCTIONS

PBM Pricing Consultation

  • Serve as PBM Pricing and bid strategy expert for health plan partner clients, with a specific focus in the ASO Commercial space, interacting regularly with client executive leadership regularly, as well as all levels of our internal organization

  • Provide ongoing consultation to Health Plan partners, including, not limited to, the following areas:

  • New Business pricing strategy

  • Renewal business and existing client retention strategies

  • Competitive intelligence analysis, including evaluation of market threats and opportunities

  • Pricing Optics & Bid analysis

  • PBM Contracting best practices

  • Being a thought leader within the Health Plan Growth team, bringing greater knowledge to our larger team of consultants by virtue of regular analysis of market events, strategies, and other areas.

  • Liaising with ESI pricing, underwriting, and forecasting to ensure organizational alignment and maximization of financial performance, among other areas such as Sales, Supply Chain, etc.

  • Ability to understand new products and programs quickly, and be able to explain their value to both external and internal stakeholders


QUALIFICATIONS

  • Must have 7+ years of PBM or Pharmacy consulting experience, with a specific focus pharmacy pricing, underwriting or business strategy

  • Demonstrated client facing experience, specifically in communication with VP and C-Suite level contacts

  • Intimate knowledge of PBM industry dynamics, including broker/consultant strategies, market trends and headwinds, competitive intelligence, and coalitions

  • Strong presentation skills with articulate, clear messaging, and an ability to explain complex challenges in digestible terms to a variety of internal and external stakeholders

  • Proven ability to make key decisions with sometimes limited or ambiguous information available

  • Ability to think creatively and develop novel solutions to often times complex problems

  • Excellent verbal and written communication skills

  • Detail oriented and organized

  • History of strategic business decision making with proven results

  • Excellent PC skills specifically within Excel and PowerPoint

  • Superior analytical and problem solving skills.

  • Intense focus on client service and retention results.

  • Strong project management, and ability to operate efficiently and autonomously

  • Ability to travel overnight up to 15%.


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.