Summary: Oversees all aspects of pharmacy contractual guarantees, including routine performance analysis and pharmacy pricing recommendations to help meet guarantee targets. Manages provider contracts end to end and support cross-functional partners with future-period negotiations and in-period performance inquiries. Leads or contributes to complex projects and analyses, applying sound judgment, creativity, and strategic thinking to plan and deliver initiatives. Presents findings and recommendations to leadership, helps enhance financial analysis and forecasting methods, translates business needs into technical specifications for matrix partners, and serves as an internal subject matter expert.
Responsibilities:- Manage pharmacy pricing to meet contractual guarantee targets.
- Review pharmacy contracts to ensure all guarantees are accurately captured.
- Track, manage, and report pharmacy guarantee performance.
- Recommend system adjustments to align with provider contractual guarantees.
- Monitor and optimize the provider guarantees database.
- Provide cross-functional support to internal business partners through ad hoc projects.
- Lead claims data analyses to evaluate strategic corporate initiatives and projects.
- Analyze current processes and identify improvement opportunities.
Qualifications:- Bachelor's degree required, preferably in business, accounting, mathematics, statistics, or finance.
- 3+ years of experience in business analysis, modeling, pricing, and/or data management.
- Proficiency in SQL and Microsoft Office applications.
- Experience with data warehouses and coding is preferred, including Visual Basic, Python, C++, R, or Teradata.
- Strong understanding of the PBM business model.
- Strong analytical and organizational skills, with the ability to work independently, manage multiple priorities, meet deadlines, and maintain attention to detail.
- Excellent Communication skills, oral and written.
- Capability to prepare and present concepts and proposals to all levels of management.
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 96,800 - 161,300 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 and paid holidays. For more details on our employee benefits programs, click here.
