Financial Analysis Advisor - Express Scripts - Remote
Summary: Oversees all aspects of pharmacy contractual guarantees, including routine performance analysis and pharmacy pricing recommendations to help meet guarantee targets. Manages provider contracts end to end and support cross-functional partners with future-period negotiations and in-period performance inquiries. Leads or contributes to complex projects and analyses, applying sound judgment, creativity, and strategic thinking to plan and deliver initiatives. Presents findings and recommendations to leadership, helps enhance financial analysis and forecasting methods, translates business needs into technical specifications for matrix partners, and serves as an internal subject matter expert.
Responsibilities:
Manage pharmacy pricing to meet contractual guarantee targets.
Review pharmacy contracts to ensure all guarantees are accurately captured.
Track, manage, and report pharmacy guarantee performance.
Recommend system adjustments to align with provider contractual guarantees.
Monitor and optimize the provider guarantees database.
Provide cross-functional support to internal business partners through ad hoc projects.
Lead claims data analyses to evaluate strategic corporate initiatives and projects.
Analyze current processes and identify improvement opportunities.
Qualifications:
Bachelor’s degree required, preferably in business, accounting, mathematics, statistics, or finance.
3+ years of experience in business analysis, modeling, pricing, and/or data management.
Proficiency in SQL and Microsoft Office applications.
Experience with data warehouses and coding is preferred, including Visual Basic, Python, C++, R, or Teradata.
Strong understanding of the PBM business model.
Strong analytical and organizational skills, with the ability to work independently, manage multiple priorities, meet deadlines, and maintain attention to detail.
Excellent Communication skills, oral and written.
Capability to prepare and present concepts and proposals to all levels of management.
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 96,800 - 161,300 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.
At The Cigna Group, 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), 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, click here.
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 need a reasonable accommodation to complete the online application process, please email [email protected] for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
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.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
Responsibilities:
Manage pharmacy pricing to meet contractual guarantee targets.
Review pharmacy contracts to ensure all guarantees are accurately captured.
Track, manage, and report pharmacy guarantee performance.
Recommend system adjustments to align with provider contractual guarantees.
Monitor and optimize the provider guarantees database.
Provide cross-functional support to internal business partners through ad hoc projects.
Lead claims data analyses to evaluate strategic corporate initiatives and projects.
Analyze current processes and identify improvement opportunities.
Qualifications:
Bachelor’s degree required, preferably in business, accounting, mathematics, statistics, or finance.
3+ years of experience in business analysis, modeling, pricing, and/or data management.
Proficiency in SQL and Microsoft Office applications.
Experience with data warehouses and coding is preferred, including Visual Basic, Python, C++, R, or Teradata.
Strong understanding of the PBM business model.
Strong analytical and organizational skills, with the ability to work independently, manage multiple priorities, meet deadlines, and maintain attention to detail.
Excellent Communication skills, oral and written.
Capability to prepare and present concepts and proposals to all levels of management.
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 96,800 - 161,300 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.
At The Cigna Group, 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), 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, click here.
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 need a reasonable accommodation to complete the online application process, please email [email protected] for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
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.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.