Director, Medical Drug Strategy - Express Scripts

Cigna Healthcare; Bloomfield (CT); Hybrid; USD 162,000 - 270,000; Full time

Benefits offered by this job

Medical

Vision

Dental

Well-being programs

401(k)

Life insurance

Tuition reimbursement

18 days paid time off per year

Paid holidays

Leaves of absence

Job summary

The Cigna Group seeks a Director of Medical Drug Contracting Strategy & Solutions to lead the development and growth of our medical drug contracting offering for Health Plans and Employer Groups. This role emphasizes cross-functional collaboration to deliver a holistic program across the enterprise.

Ideal candidates have 10+ years in managed care, a Bachelor's degree, and a pharmacist background; you will drive client upsells, manage financial modeling, negotiate terms, and ensure regulatory

Qualifications

• 10+ years of general managed care experience.
• Bachelor's degree in related field.
• Registered Pharmacist preferred.
• Ability to lead and manage multiple projects with minimal supervision.
• Strong communication and presentation skills.

Responsibilities

• Direct the development and ongoing management of competitive medical rebate product offering.
• Oversee a team focused on financial modeling and client recommendations.
• Drive upsell targets and deepen client relationships.
• Collaborate with cross-functional partners to grow key initiatives.
• Negotiate contractual terms with payers and consultants.
• Navigate Medicare and Medicaid regulatory requirements.
• Support downstream clients enrolled in Express Scripts medical rebates.
• Ensure compliance with vendor contracts.
• Demonstrate initiative, reliability, and ability to meet deadlines.

Skills

Managed care experience

Communication

Leadership

Project management

Analytical thinking

Education

Bachelor's degree in related field

Registered Pharmacist preferred

Job description

JOB SUMMARY:

The Director of Medical Drug Contracting Strategy & Solutions is responsible for leading the development and growth of our medical drug contracting offering to clients and prospects. An emphasis will be placed on working with internal and external partners to build a holistic offering that meets the needs of Health Plans and Employer Groups across the entire enterprise.

ESSENTIAL FUNCTIONS:

• Direct the development and ongoing management of competitive medical rebate product offering.
• Oversee a team that is focused on financial modeling and providing recommendations to clients for strategy updates and value enhancements.
• Accountable for upsell targets and deepening relationships with existing clients.
• Work with and influence cross-functional partners to achieve key initiative growth.
• Negotiate appropriate contractual terms with payers and consultants.
• Navigate regulatory requirements of Medicare and Medicaid.
• Support the needs of a portfolio of downstream clients enrolled in Express Scripts medical rebates.
• Ability to understand and ensure compliance with vendor contracts.
• Demonstrated to initiative with commitment and ability to work under pressure and meet tight deadlines.

IDEAL CANDIDATES WILL HAVE A COMBINATION OF THE FOLLOWING:

• 10+ years of general managed care experience
• Bachelor's degree in related field
• Registered Pharmacist preferred
• Background in medical drug management preferred
• Track record of developing innovative solutions and driving client upsells
• Excellent verbal, presentation, and written communication skills required; proven leadership skills, team-orientation, a proactive management style and strong commitment to client service a must; ability to work on multiple tasks, prioritize, resolve complex issues, and have strong project management skills; ability to learn multiple internal reporting and analytic tools use advanced problem-solving skills; work independently, as well as collaboratively
• Intellectual curiosity and strong professional judgement Demonstrated ability for creative analysis and creative problem-solving
• Ability to handle complex analysis, from issue identification to proposal to solution implementation
• Demonstrated initiative with commitment and ability to work under pressure and meet tight deadlines
• Strong relationship development capabilities with ability to work effectively with Senior Management
• Strong detail orientation, organization, and management of multiple parallel projects with fluid timelines
• Strong ability to work independently and to lead diverse teams

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 161,900 - 269,800 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 and long term incentive plan.

At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health.

• medical
• vision
• dental
• well-being and behavioral health programs
• 401(k)
• company paid life insurance
• tuition reimbursement
• a minimum of 18 days of paid time off per year
• paid holidays
• leaves of absence

For more details on our employee benefits programs, click here.

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 need a reasonable accommodation to complete the online application process, please email [e-mail] for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

Cigna 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.