Rebate Modeling & Underwriting Director- Express Scripts

Financial Analysis Director- Rebate Modeling & Underwriting

Location: This role can be based in St. Louis, MO or Remote-Work at home

ROLE SUMMARY:

This position will manage a team of underwriters in support of developing rebate pricing strategies for a portfolio of clients in a specific line of business (healthplan, commercial, public sector, wholesale markets, or labor markets). The Director will be accountable for managing clients’ end to end rebate financials by serving as the strategic advisor through leveraging market competitive strategies, knowledge of supply chain economics, and conducting complex analyses. This role plays a vital part in achieving our goal to help clients drive down the cost of care.

• Lead a team of underwriters in the development of pricing strategies and underwrite offers to win and retain clients while also maximizing profitability
• Work with Sales and Account Management (SAM) to review, strategize and analyze renewal and new sales opportunities for a portfolio of clients
• Responsible for effectively communicating with Senior Leadership, SAM and other business partners in the delivery of ESI opportunities to grow and manage financial results, including the preparation of strategic internal and external directed presentations
• Manage portfolio of clients to Strat Plan and Budget targets by managing client specific rate relief for rebates.
• Ensure client contract compliance by reviewing and approving financial performance guarantees
• Work with product areas to assist in the development of program pricing for clients
• Provide management of key internal initiatives and projects
• Assist in the negotiation of client contracts and program upsells
• Develop and improve existing best practices for client support and financial modeling

ESSENTIAL FUNCTIONS AND SCOPE OF JOB:

• Provide rebate specific underwriting support to SAM for renewing and new sales clients by developing client-specific pricing strategies with competitive offers in the marketplace for RFPs, Direct Renewal and Market Checks.
• Oversee analytical, quantitative, and financial cost modeling for clients with varying lines of business including Commercial Employer Groups, Medicare Part D, Medicaid and Health Care Exchange and present to Senior Leadership
• Provide pricing support to SAM for all ad hoc analyses which have a potential financial impact. Ensure pricing model accuracy by reviewing, analyzing and reporting for all pricing requests that affect rebates.
• Provide support related to contracting process and install process.
• Work collaboratively with internal partners to ensure we are proposing financial offers in alignment with underwriting guidelines.
• Ensure consistent approach to market and BA’s
• Support Strat Plan, Budget, and Forecast development of Rate Relief, Pass-Through Shortfall, and Gross Margin
• Development of new strategic insights for positioning pricing and/or analytic to clients.
• Provide management of key internal initiatives and projects.
• Champion a superior team culture including training, recognition, and employee engagement

THE PERSON

EXPERIENCE/KNOWLEDGE, EDUCATION & OTHER REQUIREMENTS:

• Bachelor’s degree in Business, Finance or a related field. An MBA and/or CPA is desirable
• At least 5-8 years relevant work experience in pricing and/or underwriting
• Strategic thinker with strong critical thinking skills and the ability to solve complex problems
• Proficient project manager who is able to lead multiple processes and systems simultaneously and deliver on tight and moving deadlines
• Ability to drive change and create a new perspective using existing solutions
• Collaborative and accountable team player with the ability to “hold the line”
• Works independently with minimal guidance
• Strong relationship-building with internal and external partners
• Represents the organization in providing solutions to difficult technical issues associated with specific projects
• Strong people manager with ability to drive results
• Effective verbal and written communication skills
• Entrepreneurial attitude; Ability to take ownership and deliver results; Experience in deal pricing and optimization or underwriting; Strong understanding of client analytics, financials, and value trade offs

EXPECTED COMPETENCIES/BEHAVIORS:

Strong in strategy development, communication and execution; Strong business and financial acumen; Client centric / customer focused Ability to build strong relationships with senior members of client organization; Ability to build and manage strong internal teams; Demonstrate the ability to negotiate cross functionally to drive client issues to resolution; Ability to work through ambiguity and complexity to achieve results

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 138,000 – 230,000 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.

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 .

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: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.

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.