Job Description

The Actuarial Senior Advisor will support the regulated Medicare market and Pharmacy Benefit Manager (PBM) space. This is an exciting opportunity to build out your own team and support a large client! This role is designed to provide a designated full-time support to one of our largest clients, Centene\xe2\x80\x99s Medicare Part D business. This role will matrix with internal leadership within trend, formulary, clinical, knowledge solutions, sales & account management, and supply teams.

What else will you be doing in this role?

Product Support / Development

Develop actuarial models to aid in prospective projections of Medicare Part D Plan client\xe2\x80\x99s plan liability and premium impact sensitivities

Build actuarial models and project management functions to accelerate and safeguard improvements in the development of analytics tools to identify gaps in the Medicare Part D market

Lead studies to aid in identification of gaps in the Medicare Part D Prescription Drug Health market to aid in development of strategies to help close identified gaps

Analytics Support to Centene Part D Plans

Drive strategic discussion to develop analytics road map to optimize Part-D revenue optimization and cost-reduction strategies for Medicare Part D Health Plans: PDP, MAPD, and Special Needs Program (SNPs)

Lead development of actuarial formulary analyses to aid in development of custom Medicare formulary designs

Utilize independent judgement and discretion to perform complex customized actuarial analyses for Part D Health Plans

Cross-Functional Financial Support

Collaborate with internal business partners and external vendors to determine operation feasibility and financial ramifications of special programs

Apply distinct Part D subject matter expertise (SME) to facilitate analytics capabilities, measure performance and aid in problem solving, and creation of actionable insights for technical teams within Express-Scripts enterprise

Assimilate macro and micro trends, develop benchmarks, gather competitive intelligence to develop market competitive strategies

What do you need to be successful in this role?

Looking for an individual who has managed multiple projects and teams that have delivered client driven growth

Bachelor\xe2\x80\x99s degree in Actuarial Science, Economics, Statistics, Finance or other quantitative field

7+ years of actuarial experience or 5+ years of consulting experience required

Part D Prescription Drug experience required; Part D bid development consulting experience preferred

ASA required, FSA preferred

Regulated Markets Medicare Part D Experience Pharmacy Benefit Manager (PBM) / Healthcare / pharmaceutical experience preferred, consulting experience strongly preferred

Proven capabilities in modeling, forecasting, and predictive analytics

Strong communication and presentation skills

Excellent leadership skills, with 3+ years of proven track record of leading Medicare Part D bid development strongly preferred

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 120,600 - 201,000 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\xe2\x80\x99s why you\xe2\x80\x99ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you\xe2\x80\x99ll 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 .

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.

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