Cigna Pharmacy Risk and Underwriting Advisor (Hybrid)

Cigna

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

Qualifications

  • 5+ years of experience in Pharmacy Underwriting or related fields
  • Proficient in managing large datasets and deriving insights for business decisions
  • Sound decision-making ability with awareness of financial implications
  • Experience with SQL and reporting tools for pricing and underwriting
  • Bachelor’s degree or equivalent relevant work experience
  • Strong understanding of market dynamics and pricing drivers

Responsibilities

  • Manage a pharmacy business portfolio to achieve growth and earnings targets
  • Conduct risk assessments and devise pricing strategies on an account level
  • Lead customer negotiations alongside the Sales team for complex accounts
  • Develop and implement account plans for growth and profitability
  • Analyze market trends for strategic pricing and product recommendations
  • Influence underwriting practices and consult on product development
  • Serve as a subject matter expert for underwriting teams and stakeholders

Benefits

  • Comprehensive health benefits from day one including medical, vision, and dental
  • Access to well-being and behavioral health programs
  • 401(k) plan with company contributions
  • Company paid life insurance
  • Tuition reimbursement opportunities
  • Minimum of 18 days paid time off annually and paid holidays
  • Leaves of absence available as needed
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, .



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