Senior Advisor, Regulated Markets Financial Consulting – Express Scripts – Remote

POSITION SUMMARY

Looking for a high energy individual with PBM pricing experience, an ability to drive change, and a desire for growth within the role.

The Express Scripts Regulated Markets Financial Consulting team is dedicated to helping our Health Plan partners win, retain, and grow pharmacy lives in their respective markets. This is accomplished by ensuring our partners maximize the value of their PBM relationship and are cutting edge with their pharmacy benefit offerings.

The Regulated Markets Senior Advisor works closely with the Regulated Markets Growth and Actuarial Consulting Support Team to drive pricing strategy, macro & bid specific, for a book of regional HP partners. The Regulated Markets Senior Advisor will provide consultation on pricing strategy that ensures HP partners win, retain, and grow pharmacy benefits for Regulated Market Business (Medicare, Medicaid, and Exchange lines).

If you want a growth opportunity and have what it takes to engage at the executive level, help plans grow through strategic pricing, and a desire to support the develop of new processes; this role is for you.

ESSENTIAL FUNCTIONS

PBM and Medicare Part D Pricing Consultation

• Serve as PBM Pricing SME for Health Plan partners, interacting with Health Plan Underwriting, Sales and Pharmacy Teams.
• Own Part D reporting suite and deliver, consult with HPs on high level bid strategy support
• Drive pricing strategy with Health Plan and Actuarial Consulting team, and leveraging PBM economics levers while maximizing wholesale PBM contracts.
• Consult on opportunity specific bid strategy including leveraging market intelligence to increase competitiveness
• Conducts forensic bid-level analysis (DIR, Rebates, etc.)
• Engages with broker/consultant to obtain, understand and implement bid feedback.
• Provide guidance for PBM Contracting and help create pharmacy proposal documents such as pricing contract language templates.
• Liaise with ESI Underwriting and Actuarial Consulting organization to ensure alignment and maximization of economic value to all parties.
• Remain abreast of relevant pricing trends, actively engage in market intelligence regarding pricing terms, concerns and optics. Manage competitive deal database.

QUALIFICATIONS

• BA/BS or equivalent experience
• Must have 5+ years of PBM pricing or sales/consulting/business development experience.
• Knowledge of healthcare consulting industry dynamics which includes brokers, consultants and coalitions
• Understanding of Part D benefit stages
• High level knowledge of Medicare bid strategy, revenue projection, and reconciliation strategies
• Strong presentation skills with articulate, clear messaging
• Experience and comfort level in communicating with VP level and C-level contacts
• Excellent verbal and written communication skills
• Ability to compile, analyze, and report on common sales metrics
• Detail-oriented and organized
• Demonstrate strategic business decision making experience
• Ability to tolerate ambiguity and thrive in a fast-paced environment
• Excellent PC skills including MS Office and Excel, SQL
• Superior analytical and problem solving skills.
• Knowledge of the healthcare and PBM industry required
• Strong focus on book of business client satisfaction and client retention results.
• Demonstrated strong project management ability
• Ability to travel overnight up to 15%.

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 115,800 – 193,000 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 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 Group .

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.

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.