Risk & Underwriting Senior Advisor - Express Scripts - HYBRID - The Cigna Group
St. Louis, MO
About the Job
POSITION SUMMARY
The Risk and Underwriting Senior Advisor role will be responsible for all pricing activities in supporting Sales and Account Management (SAM) for renewing and new sales clients. A Risk and Underwriting Senior Advisor will develop client-specific pricing strategies with competitive offers in the marketplace for all requests. These requests may include Request for Proposals (RFPs), Direct Renewals and Market Checks. The expectation is that the Risk and Underwriting Senior Advisor will lead more strategic and complex pricing activities as well as provide training and support to Pricing Analysts and Senior Pricing Analysts for their activities. The Risk and Underwriting Senior Advisor will also provide pricing support for all ad hoc analyses (i.e. evaluating a change in formulary request, evaluating a change in retail network or retail arrangement request retail requests, evaluating a change in specialty arrangement request, etc.) with a potential financial impact. The Risk and Underwriting Senior Advisor will be required to gain in-depth knowledge of the PBM Industry and ESI-specific pricing methods. The Risk and Underwriting Senior Advisor will be required to follow the Pricing Guidelines provided by ESI’s Pricing Governance Team.
ESSENTIAL FUNCTIONS
+ Provides expert content/professional leadership on complex Risk & Underwriting assignments/projects.
+ Manages assigned book of business focused on attaining profitable growth, persistency, and earnings.
+ Performs case-specific risk assessments.
+ Performs account level rate development and conducts customer negotiations with Sales on a more complex book of business.
+ Develops and monitors account earnings plans to achieve growth and profitability.
+ Develops strategic recommendations related to market competition, products and pricing.
+ Partners with sales department and brokers to deliver customer presentations and acts as financial consultant on case-specific issues.
+ Influences underwriting best practice and provides input to matrix partners on product development and pricing.
+ Conducts ad hoc analyses which have a potential financial impact (i.e. evaluating a change in formulary request, evaluating a change in retail network or retail arrangement requests, evaluating a change in specialty arrangement request, etc.)
+ Advise on contracting process and install process for renewing and new sales clients.
+ Responsible for effectively communicating with Leadership, SAM and other business partners in the delivery of ESI opportunities to grow and manage financial results, including the preparation of strategic directed presentations.
+ Manage portfolio of clients to Strategic Plan and Budget targets by managing client specific rate relief.
+ Ensure client contract compliance by reviewing and approving financial performance guarantees.
+ Provide training and support to other Junior/Senor Risk and Underwriting Analysts for their activities.
+ Represents the organization in providing solutions to difficult technical issues associated with specific projects.
+ Ensure pricing model accuracy by reviewing, analyzing and reporting for all pricing requests.
QUALIFICATIONS
+ Bachelor’s Degree in Economics, Statistics, Mathematics, Finance.
+ 5+ years relevant work experience in pricing and/or underwriting.
+ Experience in Pharmacy Benefits Manager (PBM), Managed Care, Healthcare, Pharmaceutical preferred.
+ Strong analytical and problem-solving skills, advanced ability with Microsoft Office & Excel.
+ Entrepreneurial attitude; Ability to take ownership and deliver results; Experience in deal pricing and optimization or underwriting; Strong understanding of client analytics, financials, and value tradeoffs.
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 103,600 - 172,600 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.
We want you to be healthy, balanced, and feel secure. That’s why 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) with company match, 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, visit Life at Cigna Group .
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.
_Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._
_If you require reasonable accommodation in completing the online application process, please email:_ _SeeYourself@cigna.com_ _for support. Do not email_ _SeeYourself@cigna.com_ _for an update on your application or to provide your resume as you will not receive a response._
_The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._
_Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances._
The Risk and Underwriting Senior Advisor role will be responsible for all pricing activities in supporting Sales and Account Management (SAM) for renewing and new sales clients. A Risk and Underwriting Senior Advisor will develop client-specific pricing strategies with competitive offers in the marketplace for all requests. These requests may include Request for Proposals (RFPs), Direct Renewals and Market Checks. The expectation is that the Risk and Underwriting Senior Advisor will lead more strategic and complex pricing activities as well as provide training and support to Pricing Analysts and Senior Pricing Analysts for their activities. The Risk and Underwriting Senior Advisor will also provide pricing support for all ad hoc analyses (i.e. evaluating a change in formulary request, evaluating a change in retail network or retail arrangement request retail requests, evaluating a change in specialty arrangement request, etc.) with a potential financial impact. The Risk and Underwriting Senior Advisor will be required to gain in-depth knowledge of the PBM Industry and ESI-specific pricing methods. The Risk and Underwriting Senior Advisor will be required to follow the Pricing Guidelines provided by ESI’s Pricing Governance Team.
ESSENTIAL FUNCTIONS
+ Provides expert content/professional leadership on complex Risk & Underwriting assignments/projects.
+ Manages assigned book of business focused on attaining profitable growth, persistency, and earnings.
+ Performs case-specific risk assessments.
+ Performs account level rate development and conducts customer negotiations with Sales on a more complex book of business.
+ Develops and monitors account earnings plans to achieve growth and profitability.
+ Develops strategic recommendations related to market competition, products and pricing.
+ Partners with sales department and brokers to deliver customer presentations and acts as financial consultant on case-specific issues.
+ Influences underwriting best practice and provides input to matrix partners on product development and pricing.
+ Conducts ad hoc analyses which have a potential financial impact (i.e. evaluating a change in formulary request, evaluating a change in retail network or retail arrangement requests, evaluating a change in specialty arrangement request, etc.)
+ Advise on contracting process and install process for renewing and new sales clients.
+ Responsible for effectively communicating with Leadership, SAM and other business partners in the delivery of ESI opportunities to grow and manage financial results, including the preparation of strategic directed presentations.
+ Manage portfolio of clients to Strategic Plan and Budget targets by managing client specific rate relief.
+ Ensure client contract compliance by reviewing and approving financial performance guarantees.
+ Provide training and support to other Junior/Senor Risk and Underwriting Analysts for their activities.
+ Represents the organization in providing solutions to difficult technical issues associated with specific projects.
+ Ensure pricing model accuracy by reviewing, analyzing and reporting for all pricing requests.
QUALIFICATIONS
+ Bachelor’s Degree in Economics, Statistics, Mathematics, Finance.
+ 5+ years relevant work experience in pricing and/or underwriting.
+ Experience in Pharmacy Benefits Manager (PBM), Managed Care, Healthcare, Pharmaceutical preferred.
+ Strong analytical and problem-solving skills, advanced ability with Microsoft Office & Excel.
+ Entrepreneurial attitude; Ability to take ownership and deliver results; Experience in deal pricing and optimization or underwriting; Strong understanding of client analytics, financials, and value tradeoffs.
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 103,600 - 172,600 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.
We want you to be healthy, balanced, and feel secure. That’s why 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) with company match, 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, visit Life at Cigna Group .
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.
_Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._
_If you require reasonable accommodation in completing the online application process, please email:_ _SeeYourself@cigna.com_ _for support. Do not email_ _SeeYourself@cigna.com_ _for an update on your application or to provide your resume as you will not receive a response._
_The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._
_Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances._
Source : The Cigna Group