Senior Formulary Strategy & Financial Modeling Lead

The Cigna Group; BLOOMINGTON (MN); Hybrid; USD 116,000 - 194,000; Full time

Benefits offered by this job

Annual bonus plan

Health insurance

401(k)

Tuition reimbursement

Paid time off

Paid holidays

Job summary

The Senior Advisor, Strategy & Financial Analysis at The Cigna Group will consult on custom formulary strategies through contract interpretation and rebate modeling, identifying opportunities to optimize formulary value for clients and Express Scripts.

You will mentor analysts, lead interdepartmental discussions, and meet with large clients to review models, scenarios, and strategic recommendations that align with department goals and client needs. Travel is anticipated up to 10%.

Qualifications

• Bachelor’s degree in Pharmacy, Finance, Healthcare or related area.
• Pharm.D./MBA a plus.
• 5+ years relevant work experience in PBM, Managed Care, Healthcare, or Finance.
• 4 years of significant formulary management/development experience.
• Strong Leadership, Detail Oriented Organizational, and Analytical skills.
• Excellent PC skills – including Excel, PowerPoint and MS Access, experience with database.
• Financial modeling experience.
• Familiarity with pharmaceutical rebate contracts a plus.
• Proven ability to work in a fast paced – ever changing environment.
• Excellent relationship building and cross functional skills.
• Ability to travel approximately 10%.

Responsibilities

• Provide consultation through rebate contract interpretation and strategic opportunity identification.
• Mentor Advisors and Lead Analysts to help support department training needs.
• Meet directly with large and most complex custom clients to review modeling and cultivate relationships with Formulary Decision Makers (i.e. Pharmacy Directors, VP’s, etc.).
• Evaluate client data, create scenarios, and provide expert formulary modeling and guidance for existing clients in alignment with department strategic objectives that drive value to both clients and ESI.
• Collaborate with Clinical Account Executives to create strategy for Custom Clients based on formulary scenarios, rebate offerings, and modeling options.
• Develop and execute formulary modeling for complex RFP requests- prospect clients and client renewals in alignment with department strategy
• In collaboration with Clinical Account Executives discuss with clients any potential utilization management programs under evaluation to ensure that all modeling and requirements of these programs are accurately represented and in alignment with Pharmaceutical rebate contract.
• Analyze the financial impact of client requested formulary changes to both the client and Express Scripts.
• Create presentations for client formulary strategy and/or consulting meetings including all supporting documentation.
• Strategize with cross-functional areas of Express Scripts, including but not limited to Account Management, Pricing, Product, Finance, and New Sales.
• Lead interdepartmental team calls as required to discuss rebate invoicing eligibility terms/conditions.
• Effectively document and communicate formulary analysis projects. (i.e., model maintenance and QC).
• Ensures optimization of work processes for formulary modeling strategies and achievement of department goals

Skills

Financial modeling

Excel

PowerPoint

MS Access

Leadership

Analytical

Client management

Contract interpretation

Cross-functional collaboration

Travel

Education

Bachelor’s degree in Pharmacy, Finance, Healthcare or related area

Pharm.D./MBA a plus

Job description

The Senior Advisor, Strategy & Financial Analysis at The Cigna Group will consult on custom formulary strategies through contract interpretation and rebate modeling, identifying opportunities to optimize formulary value for clients and Express Scripts.

You will mentor analysts, lead interdepartmental discussions, and meet with large clients to review models, scenarios, and strategic recommendations that align with department goals and client needs. Travel is anticipated up to 10%.