Summary: Responsible for working collaboratively internally and with external client partners to identify and manage value. This individual will work closely with Centene, Account Management Teams, Supply Chain, and Pricing to ensure all pricing related contractual commitments are met. You will manage large data tables and tools that measure client guarantee performance, develop tracking reports, and communicate any known risks or opportunities.
Responsibilities:- Completes pricing related activities for clients which include development of custom network pricing and rate counters
- Development and maintenance of all price points on the client pricing files
- Participates in coordination with Network Ops to ensure production price points reflect desired rates
- Monitors and tracks client and provider guarantee performances
- Perform monthly client guarantee accrual and reconciliation reporting for select clients
- Reports on pricing guardrail performance and adherence
- Work closely with Contracting team to help research pharmacy inquiries around reimbursement due to rental network/PBM relationship
- Completes financial assessment of re-contracted retail network rates
- Design and implement tools and financial models to support decision makers with forecasting, reporting, and analysis
- Develops reporting for discussions around annual plan, monthly operating report, and mid-year projections. Meets collaboratively with clients to discuss any financial or operational issues or opportunities.
- Direct client interaction to build relationship and triage issues.
Requirements:- Bachelor's Degree (or equivalent experience)
- Experience working cross functionally in a collaborative environment
- Advanced knowledge of Microsoft Excel including macros
- Comfort working in dynamic and deadline driven environments
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 77,900 - 129,900 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.
