Cigna Pharmacy Risk & Underwriting Lead Analyst (Hybrid)

The Cigna Group; Philadelphia (Philadelphia County); Hybrid; USD 74,000 - 124,000; Full time

Job summary

The Cigna Group is seeking a Pharmacy Risk & Underwriting Lead Analyst in Philadelphia. This mid-senior level position requires expertise in pharmacy underwriting, managing business books, and negotiating pricing strategies. The role supports market competition analysis, providing recommendations and consulting on financial matters, alongside a comprehensive benefits package.

Benefits

401(k) with company match

Tuition reimbursement

Minimum of 18 days of paid time off per year

Comprehensive health-related benefits

Qualifications

• 3+ years of medical or pharmacy underwriting experience preferred
• Strong analytical and problem-solving skills
• Excellent verbal and written communication skills

Responsibilities

• Responsible for implementing the Go To Market Pharmacy Pricing Strategy
• Manages an assigned book of business focused on attaining profitable growth
• Conducts customer negotiations with Sales on intermediate complexity book of business

Skills

Analytical skills

Problem solving

Negotiation skills

Decision making

Communication skills

Education

Bachelor's degree in Risk Management, Economics, Finance, Accounting, Management, Mathematics, or Business

Job description

Cigna Pharmacy Risk & Underwriting Lead Analyst (Hybrid)

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Cigna Pharmacy Risk & Underwriting Lead Analyst (Hybrid)

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Role Summary

Responsible for implementing the Go To Market Pharmacy Pricing Strategy through account level rate development and conducting customer negotiations with Sales on intermediate complexity book of business. Develops strategic recommendations related to market competition and pricing. Acts as financial consultant on case-specific issues. Influences underwriting best practice and provides input to matrix partners on product development and pricing.

Role Summary

Responsible for implementing the Go To Market Pharmacy Pricing Strategy through account level rate development and conducting customer negotiations with Sales on intermediate complexity book of business. Develops strategic recommendations related to market competition and pricing. Acts as financial consultant on case-specific issues. Influences underwriting best practice and provides input to matrix partners on product development and pricing.

Responsibilities

• Manages an assigned book of business, focused on attaining profitable growth, persistency, and earnings.
• Performs case-specific risk assessments.
• Responsible for account level rate development and conducting customer negotiations with Sales on an intermediate complexity book of business.
• Develops and monitors account plans to achieve growth and profitability.
• Develops strategic recommendations related to market competition, products and pricing.
• Influences underwriting best practice and provides input to matrix partners on product development and pricing.
  
  

Minimum Qualifications

• 3+ years of medical or pharmacy underwriting experience preferred
• Bachelor's degree in the following majors and/or minors are preferred, but not required: Risk Management, Economics, Finance, Accounting, Management, Mathematics, and/or Business
• Strong analytical and problem solving skills
• Ability to manage complex cases and thrive in an ever-changing market segment.
• Excellent decision making and negotiation skills
• Excellent verbal and written communication skills
• Passion and dedication to become a leader in the health service industry
• Innovative thinking, customer-centricity and analytical problem-solving skills
  
  

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 74,300 - 123,900 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.

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 Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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: [e-mail] for support. Do not email [e-mail] 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.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Finance and Sales

• Industries

  Hospitals and Health Care

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