Senior Manager - Medicaid/Marketplace Client Strategy - Express Scripts - Hybrid

Cigna Health and Life Insurance Company; St. Louis, Northern (MO, KY); Hybrid; USD 140,000 - 234,000; Full time

Benefits offered by this job

Medical

Vision

Dental

Well-being and behavioral health

401(k)

Company paid life insurance

Tuition reimbursement

Minimum 18 days of paid time off per :

Paid holidays

Leaves of absence

Job summary

The Cigna Group, via Evernorth Health Services, is seeking a Senior Manager for Medicaid & Marketplace Client Strategy in a role that blends strategy, policy insight, and leadership. You will guide executives, lead a team of healthcare strategists, and translate evolving regulations into impactful business actions.

You will build cross-functional partnerships, deliver executive-ready recommendations, and drive client success while shaping talent across the organization.

Qualifications

• 7+ years of experience in healthcare strategy, healthcare consulting, Medicaid, Marketplace, Medicare, PBM, healthcare policy, regulatory affairs, government affairs, or a related healthcare environment.
• Experience leading, coaching, and developing teams.
• Experience working directly with clients, senior leaders, or executive stakeholders.
• Strong strategic thinking, analytical, and problem-solving skills.
• Ability to synthesize complex information into clear, actionable recommendations.
• Excellent verbal, written, and presentation communication skills.
• Demonstrated ability to influence cross-functional stakeholders and build strong partnerships.
• Strong business acumen and understanding of healthcare market dynamics.
• Ability to navigate ambiguity and adapt in a fast-changing environment.
• Willingness to travel up to 25%.

Responsibilities

• Lead Strategic Client Partnerships by delivering strategic guidance to Medicaid and Marketplace clients and translating policy into actionable strategies.
• Drive Market Intelligence and Business Insights by interpreting policy and regulatory developments for decision-ready insights.
• Support Client Growth and Organizational Success through collaboration with account teams and executives.
• Develop Talent and Build High-Performing Teams by coaching strategists and fostering accountability and growth.
• Influence Across the Organization to align stakeholders and drive client outcomes.

Skills

Healthcare strategy

Executive coaching

Team leadership

Strategic partnerships

Policy analysis

Business strategy

Stakeholder management

Communication

Travel readiness

Education

Bachelor's degree

Job description

Senior Manager, Medicaid & Marketplace Client Strategy

Help Shape Strategy in a Changing Healthcare Landscape

Are you passionate about helping clients navigate complexity and drive meaningful results? As the Senior Manager, Medicaid & Marketplace Client Strategy, you will lead a team of healthcare strategists who turn evolving policy, regulatory, quality, affordability, and market developments into actionable business strategies. In this highly visible leadership role, you will serve as a trusted advisor to health plan and PBM clients, helping executives make informed decisions, anticipate change, and achieve their business goals. This is an opportunity to combine strategic thinking, industry expertise, and people leadership while developing talent and creating lasting client impact.

Responsibilities

Lead Strategic Client Partnerships

Serve as a trusted advisor to Medicaid and Marketplace clients, delivering strategic guidance that helps them navigate industry change and achieve business objectives. Translate complex healthcare policy, regulatory, quality, affordability, and market developments into clear recommendations and actionable strategies. Facilitate executive-level discussions that support informed decision making and drive client success. Anticipate emerging trends, opportunities, and risks and proactively advise clients on business implications.

Drive Market Intelligence and Business Insights

Monitor and interpret federal and state policy, legislative, and regulatory developments affecting Medicaid, Marketplace, and related healthcare markets. Deliver concise, decision-ready insights that help clients and internal partners respond strategically to industry changes. Contribute to organizational perspectives and recommendations that strengthen client outcomes and market positioning.

Support Client Growth and Organizational Success

Partner with Account Management and cross-functional teams to deliver solutions that create measurable value for clients. Strengthen client relationships through strategic consultation, thought leadership, and collaborative problem solving. Represent the organization in client meetings, executive presentations, and industry engagements.

Develop Talent and Build High-Performing Teams

Lead, coach, and develop a team of strategists while fostering a culture of accountability, collaboration, innovation, and continuous growth. Strengthen team capabilities in strategic thinking, executive communication, consulting, and problem solving. Create an environment where curiosity, learning, and knowledge sharing are encouraged and rewarded.

Influence Across the Organization

Build strong partnerships across business functions to advance strategic priorities. Influence stakeholders and drive alignment in complex and evolving environments. Balance competing priorities while maintaining focus on client and business outcomes.

Qualifications

Required

• 7+ years of experience in healthcare strategy, healthcare consulting, Medicaid, Marketplace, Medicare, PBM, healthcare policy, regulatory affairs, government affairs, or a related healthcare environment.
• Experience leading, coaching, and developing teams.
• Experience working directly with clients, senior leaders, or executive stakeholders.
• Strong strategic thinking, analytical, and problem-solving skills.
• Ability to synthesize complex information into clear, actionable recommendations.
• Excellent verbal, written, and presentation communication skills.
• Demonstrated ability to influence cross-functional stakeholders and build strong partnerships.
• Strong business acumen and understanding of healthcare market dynamics.
• Ability to navigate ambiguity and adapt in a fast-changing environment.
• Willingness to travel up to 25%.

Preferred

• Preferred Bachelor's degree or advanced degree in a related field.
• Health plan experience supporting Medicaid, Marketplace, or Medicare lines of business.
• PBM experience.
• Healthcare strategy consulting experience.
• Experience in public policy, legislative affairs, regulatory affairs, or government relations.
• Experience developing executive-level presentations, recommendations, and strategic business cases.
• Experience using data, market intelligence, and industry insights to guide strategic decisions.

Salary and Compensation

For this position, we anticipate offering an annual salary of 140,300 - 233,800 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 plan.

Benefits

• 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.

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.

Work From Home

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.

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.

Equal Opportunity Statement

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.

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.

About Us

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.