Cigna Pharmacy Risk and Underwriting Advisor (Hybrid)

Cigna Healthcare

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

Qualifications

  • 5+ years of experience in Pharmacy Underwriting or related fields
  • Familiarity with large datasets and data-driven business decisions
  • Strong decision-making skills with awareness of financial impacts
  • Proficiency in SQL and reporting tools for analytical tasks
  • Bachelor's degree or equivalent experience
  • Deep understanding of market dynamics, competitive conditions, and pricing drivers

Responsibilities

  • Manage a pharmacy portfolio to drive profitable growth and earnings performance
  • Conduct risk assessments to develop tailored pricing strategies
  • Lead customer negotiations alongside Sales for complex accounts
  • Create and monitor account plans to enhance growth and profitability
  • Analyze market trends to inform pricing and product positioning
  • Advise on underwriting best practices and provide insights for product development
  • Act as a subject matter expert supporting Medical Underwriting and other stakeholders

Benefits

  • Comprehensive health benefits including medical, vision, and dental from day one
  • Well-being and behavioral health programs
  • 401(k) retirement plan
  • Company-paid life insurance
  • Tuition reimbursement programs
  • Minimum of 18 days of paid time off annually
  • Paid holidays and leaves of absence
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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