Job Description

Job Summary
The Risk & Underwriting Advisor role will be responsible for all pricing activities in supporting Sales and Account Management (SAM) for renewing and new sales clients. The Risk & Underwriting Advisor will develop client-specific pricing strategies with competitive offers in the marketplace for all requests. These requests may include Request for Proposals (RFPs), Direct Renewals and Market Checks.

The Risk & Underwriting Advisor will also provide pricing support for all ad hoc analyses (i.e. evaluating a change in formulary request, evaluating a change in retail network or retail arrangement request retail requests, evaluating a change in specialty arrangement request, etc.) with a potential financial impact. The Risk & Underwriting Advisor will be required to gain in-depth knowledge of the PBM Industry and ESI-specific pricing methods. The Risk & Underwriting Advisor will be required to follow the Pricing Guidelines provided by ESI\'s Pricing Governance Team.

Essential Functions

• Develop pricing strategy and underwrite offers to win and retain clients while also maximizing profitability.
• Conduct 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 C-level executives.
• Work with Sales and Account Management to review, strategize and analyze client renewal and new sales opportunities.
• Support Senior Leadership in business management through understanding margin and performance drivers.
• Attend client meetings and provide consultative client support by conducting in-depth analyses to identify client specific trends, explain past program performance, and recommend opportunities for improvement.
• Provide clients with plan design consultation and appropriate plan design recommendations through creative modeling and analyses.
• Negotiate and manage the set-up of a client\'s contract to ensure compliance with financial terms and pricing guarantees.
• Participate in department and company projects.
• Develop and improve existing best practices for client support and financial modeling.

Qualifications

• Bachelor\'s degree in Economics, Statistics, Mathematics, Finance, or equivalent work experience
• 5-8 years relevant work experience in pricing and/or underwriting
• PBM / Managed Care / Healthcare / Pharmaceutical experience preferred.
• Strong analytical and problem solving skills, advanced ability with Microsoft Office & Excel
• 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
• Up to 10% travel may be required

About the Department
If your niche is in financial reporting and analysis, underwriting, cash management, audit or investor relations, our Finance department may be a perfect fit for you. Our teams within Finance work together to ensure that spending stays on track and that we remain a profitable industry leader. We\'re always on the lookout for innovative people who will bring outside-the-box thinking to our team.

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.

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.

eQuest