Cigna Pharmacy Risk and Underwriting Advisor (Hybrid)

Cigna Healthcare

$88K — $147K *
Pharmaceuticals & Biotech
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 5+ years of experience in Pharmacy Underwriting or related fields
  • Experience with large datasets and data-driven insights
  • Strong decision-making skills with financial implications understanding
  • Proficient in SQL and analytical tools for pricing decisions
  • Bachelor's degree or equivalent work experience required
  • In-depth knowledge of market dynamics and pricing drivers

Responsibilities

  • Manage pharmacy business for profitable growth and earnings performance
  • Conduct risk assessments and create account-level pricing strategies
  • Lead customer negotiations with a focus on complex pharmacy accounts
  • Develop and execute account plans to enhance profitability
  • Analyze market trends to inform pricing and product positioning
  • Influence underwriting practices and provide consultative input
  • Act as a subject matter expert for Medical Underwriting teams

Benefits

  • Comprehensive health benefits starting on day one
  • 401(k) retirement plan
  • Company-paid life insurance
  • Tuition reimbursement for professional development
  • Minimum of 18 days paid time off annually
  • Paid holidays and leave of absence options
Full Job Description
Role Summary:

Drive profitable growth across a complex pharmacy portfolio by developing data-driven pricing strategies, leading customer negotiations, and partnering closely with Sales to win and retain business. Leveraging advanced analytics, financial modeling, and market intelligence, you will influence pricing decisions, product positioning, underwriting practices, and go-to-market strategies that deliver value for customers and the business.

Key Responsibilities:
• Manages an assigned book of pharmacy business with accountability for profitable
growth, persistency, and earnings performance.
• Conducts case-specific risk assessments and develops account-level pricing strategies.
• Leads rate development and customer negotiations in collaboration with Sales for
complex pharmacy accounts.
• Develops, executes, and monitors account plans to drive growth and profitability.
• Analyzes market trends and competitive dynamics to deliver strategic
recommendations on pricing and product positioning.
• Influences underwriting best practices and provides consultative input to matrix
partners on product development and pricing strategy.
• Serves as a subject matter expert (SME) supporting Medical Underwriting teams and
broader stakeholders.

Qualifications:
5+ years of experience in Pharmacy Underwriting or related fields
• Experience working with large datasets and applying data-driven insights to business decisions.
• Proven ability to make sound decisions with a strong understanding of internal and
external financial implications
• Experience using SQL, reporting tools, or other analytical platforms to support pricing and underwriting decisions.
• Bachelor's degree or equivalent relevant work experience required
• In-depth knowledge of market dynamics, competitive conditions, and pricing drivers

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 88,700 - 147,800 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.

At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.

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