Pharmacy Benefit Financial Analyst-Remote

About the position The Pharmacy Benefit Financial Analyst serves as a key strategic partner within the Cigna Healthcare Pharmacy Underwriting Organization, supporting the development and execution of Broker Roadmaps. The roadmaps are essential tools that enable efficient and effective pharmacy underwriting aligned with enterprise financial goals and broker preferences. In this role, you will work collaboratively with Cigna Pharmacy Sales and Account Management (CPSAM), Pharmacy Underwriting (RxUW), and the Cigna Healthcare Consultant Relations Department (CRD) to drive the optimization of pharmacy pricing aligned with broker strategies, with a specific focus on Broker Roadmaps. The Senior Advisor is responsible for maintaining the accuracy and relevance of broker roadmaps, analyzing broker-specific requests, generating competitive responses to RFPs and RFIs, communicating key changes to broker roadmaps and strategies to the RxUW team, and working with CRD to determine how certain brokers are financially evaluating our pharmacy pricing proposals. The primary goal of your responsibilities is to ensure that RxUW and CPSAM are armed with the most up-to-date broker financial preferences and competitive intelligence so RxUW can formulate the most compelling financial offering to brokers to win and retain integrated medical and pharmacy benefits business and effectively defend against pharmacy carve-out threats. A secondary, but no less important goal of your responsibilities, is to lead and/or support projects that enable the RxUW team to effectively and efficiently underwrite cases. These projects include, but are not limited to, enhancements to the underwriting tools, advise on/incorporate enhanced/new product(s) into existing underwriting tools, and collaborate with the Pricing, Proposals, and Growth Strategies Teams to effectuate changes that positively influence the pharmacy underwriting process and our pharmacy pricing competitiveness.

Responsibilities

• Understand PBM marketplace pricing optics with specific emphasis on broker-specific preferences for each optic.
• Become an expert on broker-specific financial evaluations.
• Ability to dissect competitors’ financial proposals to perform SWOT analyses on our own pharmacy pricing strategies.
• Conduct thorough research to inform and enhance broker roadmaps, ensuring that content remains current, accurate, and strategically aligned.
• Maintain broker roadmaps’ currency by updating information, tracking industry trends, and incorporating feedback from internal stakeholders and external competitive intelligence resources.
• Communicate updates and changes regarding broker roadmaps to RxUW and CPSAM, ensuring transparency and alignment across teams.
• Collaborate actively with the Cigna Healthcare CRD to share insights, coordinate strategy, and strengthen broker engagement.
• Analyze broker-specific requests and partner with management to develop and implement effective response strategies that maximize opportunities and address client needs.
• Review broker RFPs and RFIs, working closely with internal stakeholders to craft and deliver competitive, compelling responses that address broker requirements.
• Engage and participate in projects and product development initiatives that are impactful to the RxUW process to ensure RxUW process remains efficient and aligned with strategic objectives.
• Willingness to learn and understand how our pharmacy pricing is memorialized in ASO client contracts.
• Support broader organizational goals by contributing broker-focused expertise to cross-functional initiatives and projects.

Requirements

• 5+ years of relevant experience preferred.
• General understanding of pharmacy benefits industry and PBM pricing and supply chain is required
• 2+ years of experience in pharmacy benefits underwriting preferred.
• General knowledge of the pharmacy benefits broker landscape is preferred.
• Excellent written and verbal communication skills, including the ability to present complex information to diverse audiences and maintain executive presence.
• Strong analytical and modeling skills, with a proven ability to assess value trade-offs and support strategic decision-making.
• dynamics and financial implications with desire to become an expert.
• Ability to take initiative, deliver results, and work effectively under pressure and tight deadlines.
• Bachelor’s degree in Healthcare, Business, Finance, Economics, Communications, or a related field;
• Willingness to travel up to 20%.
• 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.

Benefits

• health-related benefits including medical, vision, dental, and well-being and behavioral health programs
• 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

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