The Cigna Group

Senior Manager, Wholesale Market Rebate Underwriting

The Cigna Group

full-time

Posted on:

Location Type: Hybrid

Location: Bloomfield • Connecticut • Tennessee • United States

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Job Level

Senior

About the role

  • Lead a team of advisors / analysts who provide financial modeling to both standard and custom formulary clients undergoing renewals or market checks, as well as new sales prospects.
  • Oversee, develop, and review the strategy of the team’s financial modeling and assist with creation of optimization scenarios for client formularies and/or presentations including all supporting documentation.
  • Present formulary opportunities and meet directly with standard and custom clients' SAM team members as well as other cross-functional partners to align baseline models and opportunities to the overall recommended rebate strategy for market checks and renewals.
  • Evaluate client data and advise analysts on appropriate scenarios for rebate/plan sponsor savings opportunities that drive value to both clients and ESI.
  • Analyze the financial impact of client requested formulary changes to both the client and Express Scripts.
  • Collaborate with Clinical Account Executives to create strategy for clients based on formulary and utilization management scenarios, rebate offerings, and modeling options.
  • Discuss any potential utilization management programs under evaluation to ensure compliance with pharmaceutical rebate contracts.
  • Interact directly with Pharma Strategy and Contracting Team to understand Pharma Manufacturer Rebate Contracts and to strategize on formulary modeling opportunities.
  • Strategize with cross-functional areas of Express Scripts, including but not limited to Account Management, Product, and Finance.
  • Interview, hire and train new employees on modeling operations, procedures, documentation and client service.
  • Lead interdepartmental team calls as required to discuss rebate invoicing eligibility terms/conditions.
  • Identify and communicate opportunities to streamline and improve existing systems and procedures to relevant team members and other cross-functional Supply Chain teams for documentation / SOPs, tool or system enhancements, etc. required for the dynamic marketplace.

Requirements

  • Bachelor’s degree in Pharmacy, Pharm.D. preferred, with current active U.S. Pharmacist License
  • 5-7 years plus of working in the pharmacy environment
  • 4 years of significant formulary management/development experience
  • Strong Leadership, Detail Oriented Organizational, and Analytical skills
  • Excellent PC skills – including Excel, PowerPoint and MS Access, experience with database
  • Financial modeling experience
  • Familiarity with pharmaceutical rebate contracts a plus
  • Proven ability to work in a fast paced – ever changing environment
  • Excellent relationship building and cross functional skills
Benefits
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Applicant Tracking System Keywords

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Hard Skills & Tools
financial modelingformulary managementdata analysisoptimization scenariosutilization managementrebate strategypharmaceutical rebate contracts
Soft Skills
leadershipdetail orientedorganizational skillsanalytical skillsrelationship buildingcross-functional collaboration
Certifications
Bachelor’s degree in PharmacyPharm.D.U.S. Pharmacist License