Help turn complex pharmacy rebate terms into clear, accurate decisions that support clients and the business. As a Lead Analyst on the Benefit Driven Rebate Optimization (BDRO) team, you will connect manufacturer agreements, client benefit designs, and clinical rules to determine rebate eligibility. You will bring curiosity, sound judgment, and a collaborative approach as you learn our systems, improve accuracy, and help optimize rebate outcomes.
Responsibilities- Interpret rebate requirements in manufacturer agreements and apply clinical rules and criteria to determine client rebate eligibility.
- Evaluate how client benefit structures, clinical changes, and contract updates affect rebate eligibility, then translate findings into clear system decisions.
- Monitor upcoming additions, changes, and removals to client clinical benefits; complete system updates within the right timelines.
- Validate invoicing and related outputs after eligibility updates to support accurate rebate processing.
- Build working knowledge of manufacturer agreements, independently handling less complex contracts while partnering with experienced team members on medium- and high-complexity work.
- Develop expertise in Formulary Rebate Processing systems and provide consultative support for contract setup.
- Partner across teams to resolve issues, gather information, and move analysis from problem identification to practical solution options.
- Contribute to BDRO assignments and projects while identifying opportunities to strengthen quality, consistency, and process outcomes.
Required Qualifications - High school diploma or equivalent.
- 2 or more years of related experience in analytics, contracts, pharmacy operations, healthcare, rebates, or a comparable business environment.
- Proficiency with Microsoft Excel and Microsoft Office tools, with the ability to organize, review, and explain detailed information.
- Ability to work independently with appropriate guidance, manage deadlines, and maintain accuracy under pressure.
- Strong analytical, organizational, business, and communication skills.
- Ability to work across teams to gather information, resolve issues, and recommend potential solutions.
- Ability to work onsite at least three days per week in a hybrid work arrangement.
Preferred Qualifications - Bachelor's degree in business, analytics, healthcare, or a related field.
- Experience in a pharmacy benefit management (PBM), pharmacy, healthcare, rebate, formulary, or contracting environment.
- Experience using OneNote or systems that support rebate, formulary, contract, or benefit configuration work.
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 77,500 - 129,100 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.
