Risk & Underwriting Advisor, Retail Network - Express Scripts - Hybrid

The Cigna Group • Denver, CO • 1d ago

Summary: The Risk & Underwriting Advisor, Retail Network, is responsible for developing and implementing client-specific retail network pricing strategies that ensure competitive positioning in the marketplace. This role collaborates closely with Supply Chain teams and cross-functional stakeholders-including Retail Network Underwriting Analysis, Product, Sales & Account Management (SAM), Core Underwriting, and Next Generation Engine (NGE) Support-to optimize retail network modeling for Health Plan clients and new sales opportunities. The Advisor also provides expert support for ad hoc and complex underwriting analyses with potential financial impact.

Key Responsibilities:

Strategic Pricing & Modeling

Develop tailored retail network pricing strategies for renewing clients and new sales opportunities, including RFPs, Direct Renewals, and Market Checks.

Deliver competitive offers by leveraging market intelligence and client-specific data.

Analytical Support

Provide underwriting support for all retail network ad hoc analyses with potential financial implications.

Conduct quantitative and financial cost modeling for clients across diverse lines of business, including Commercial, Medicare Part D, Medicaid, and Health Care Exchange.

Stakeholder Engagement

Communicate effectively with Senior Leadership, SAM, and other business partners to present ESI opportunities and drive financial results.

Prepare and deliver strategic presentations for both internal and external audiences.

Collaboration & Project Participation

Partner with cross-functional teams to strategize and deliver optimized retail network solutions.

Participate actively in department and company-wide projects, contributing expertise and innovative thinking.

Qualifications:

Bachelor's degree in Risk Management, Economics, Statistics, Mathematics, or Finance preferred

Minimum of 2 years plus of relevant financial or analytical experience.

Preferred experience in Pharmacy Benefit Management (PBM), Managed Care, Healthcare, or Pharmaceutical industries.

Demonstrated ability to build partnerships and collaborate effectively to achieve shared objectives.

Strong analytical, quantitative, and problem-solving skills.

Proven decision-making abilities, with a solid understanding of key financial indicators.

Excellent verbal and written communication skills, including presentation capabilities.

High motivation and perseverance in the face of challenges.

Strong business acumen, leadership qualities, innovative mindset, and customer-centric approach.

Self-starter with the ability to manage multiple projects simultaneously.

We will consider qualified candidates who prefer to work 100% remote

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 88,700 - 147,800 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.

At The Cigna Group, 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), 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, click here (https://jobs.thecignagroup.com/us/en/benefits) .

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.

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