POSITION SUMMARY

Responsible for managing all aspects of pharmacy contractual guarantees. Analyst will conduct routine analysis on guarantee performance and make pharmacy pricing recommendations to management in order to meet the guarantees.

Provides expert content/professional leadership on complex Financial Analysis assignments/projects. Responsible for coordinating, conducting, and documenting financial analysis projects or financial reporting. Conducts or participates in more complex financial analysis projects and/or reporting. Presents results and recommendations to management. Contributes to the development and improvement of financial analysis and forecasting analytical methodologies. Translates business need into technical specifications for systems matrix partners. Exercises considerable creativity, foresight, and judgment in conceiving, planning, and delivering initiatives. Uses deep professional knowledge and acumen to advise functional leaders. Focuses on providing thought leadership within Financial Analysis but works on broader projects, which require understanding of wider business processes. Recognized internally as a subject matter expert.

ESSENTIAL FUNCTIONS

• Managing pharmacy pricing in order to meet contractual guarantees.
• Communicate performance results and projections to Senior Management.
• Development of the custom MAC pricing to achieve financial obligations for strategic clients and providers.
• Provide Final provider guarantee reconciliation and analysis related to provider disputes.
• Working with Network Contracting, Network Implementations and Analytics team to capture and implement guarantee requirements.
• Ad Hoc Analysis of generic pricing performance related to Provider and Client guarantees.
• Act as a mentor and knowledge resource for teammates.

QUALIFICATIONS

• Bachelor's degree (preferably in business, accounting or finance) or equivalent years of experience
• At least 3 - 5 years of business experience in analysis, modeling, pricing &/or data management.
• Experience with all MS Office applications, Visual Basic, and SQL.
• Thorough knowledge of PBM business model.
• Analytical, highly organized, able to work with little supervision, motivated to successfully meet deadlines, attention to detail and ability to multi-task.
• Excellent Communication skills, oral and written.
• Capability to prepare and present concepts and proposals to all levels of management.

Location: St. Louis (this is a hybrid position and will require the ability to work in person 3 days a week)

ABOUT THE DEPARTMENT

If your niche is in financial reporting and analysis, underwriting, cash management, audit, or project management our department may be a perfect fit for you. Our teams work together to ensure that we remain a profitable industry leader. We're always on the lookout for innovative people who think outside the box to join 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: [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.