Pharmacy Benefit Underwriter-Express Scripts-Hybrid

Found in: Talent US C2 - 2 weeks ago

Bloomington, United States The Cigna Group Full time

Job Description

We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply

Our people make all the difference in our success.

Are you looking for a career that will directly impact business outcomes and earning results?

If you’re looking to add value, make an impact, and use strong analytical and math skills in a fast-paced environment, a career within the Underwriting & Analytics team at Express Scripts by Evernorth will allow you to do all this and more. As part of our Underwriting team, you will directly impact our business on a daily basis, protecting Cigna‘s sound financial position which enables us to meet our financial commitments to our customers.

The Risk Analyst and Underwriter Advisor role will be responsible for all underwriting activities in supporting Sales and Account Management (SAM) for renewing a portfolio of clients and for new sales clients.  The Risk Analyst and Underwriter Advisor will develop client-specific pricing strategies with competitive offers in the marketplace for all requests.   These requests may include Request for Proposals (RFPs), Direct Renewals and Market Checks. The Risk Analyst and Underwriter Advisor will also provide underwriting support for ad hoc and complex analyses with a potential financial impact.  The Risk Analyst and Underwriter Advisor will be required to gain in-depth knowledge of the PBM Industry and Express Scripts Inc. specific underwriting methods.

What you’ll be doing in this role:

  • Provides expert content/professional leadership on complex Risk & Underwriting assignments/projects

  • Manages assigned book of business focused on attaining profitable growth, persistency, and earnings.

  • Performs case-specific risk assessments.

  • Performs account level rate development and conducts customer negotiations with Sales on a more complex book of business.

  • Develops and monitors account earnings plans to achieve growth and profitability.

  • Develops strategic recommendations related to market competition, products and pricing.

  • Partners with sales department and brokers to deliver customer presentations and acts as financial consultant on case-specific issues.

  • Influences underwriting best practice and provides input to matrix partners on product development and pricing

  • Conducts ad hoc analyses which have a potential financial impact (i.e. evaluating a change in formulary request, evaluating a change in retail network or retail arrangement requests, evaluating a change in specialty arrangement request, etc.)

  • Advise on contracting process and install process for renewing and new sales clients

  • Responsible for effectively communicating with Leadership, SAM and other business partners in the delivery of ESI opportunities to grow and manage financial results, including the preparation of strategic directed presentations.

  • Manage portfolio of clients to Strategic Plan and Budget targets by managing client specific rate relief

  • Ensure client contract compliance by reviewing and approving financial performance guarantees

  • Participate in department and company projects

What you’ll have to be successful in this role:

  • Bachelor’s degree in Business Administration with a preference for the following major and/or minors Risk Management, Economics, Statistics, Mathematics, or Finance

  • 4-7 years of risk and/or underwriting experience in healthcare

  • Financial/analytical mindset

  • Experience in Pharmacy Benefits Manager (PBM), Managed Care, Healthcare, Pharmaceutical preferred

  • Strong interpersonal and presentation skills

  • Strong analytical and problem-solving skills

  • Ability to support own position with data and rationale, while being open to possibility that it may need to be re-examined

  • Ability to build partnerships and work collaboratively with others to meet shared objectives

  • Ability to make good and timely decisions by interpreting and applying understanding of key financial indicators

  • Strong motivation to persevere despite challenges

  • Excellent verbal and written communication skills

  • Business acumen with leadership, innovative thinking, and customer centric mindset

  • Self-starter; able to work on multiple projects simultaneously

  • Strong ability with Microsoft Office Platforms and Proficient in SQL


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