Financial Analysis Lead Analyst - Express Scripts - Remote
$77.9k - $129.9kCigna Healthcare
Summary: Responsible for working collaboratively internally and with external client partners to identify and manage value. This individual will work closely with Centene, Account Management Teams, Supply Chain, and Pricing to ensure all pricing related contractual commitments are met. You will manage large data tables and tools that measure client guarantee performance, develop tracking reports, and communicate any known risks or opportunities.
Responsibilities:
- Completes pricing related activities for clients which include development of custom network pricing and rate counters
- Development and maintenance of all price points on the client pricing files
- Participates in coordination with Network Ops to ensure production price points reflect desired rates
- Monitors and tracks client and provider guarantee performances
- Perform monthly client guarantee accrual and reconciliation reporting for select clients
- Reports on pricing guardrail performance and adherence
- Work closely with Contracting team to help research pharmacy inquiries around reimbursement due to rental network/PBM relationship
- Completes financial assessment of re-contracted retail network rates
- Design and implement tools and financial models to support decision makers with forecasting, reporting, and analysis
- Develops reporting for discussions around annual plan, monthly operating report, and mid-year projections. Meets collaboratively with clients to discuss any financial or operational issues or opportunities.
- Direct client interaction to build relationship and triage issues.
Requirements:
- Bachelor's Degree (or equivalent experience)
- Experience working cross functionally in a collaborative environment
- Advanced knowledge of Microsoft Excel including macros
- Comfort working in dynamic and deadline driven environments
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, paid holidays, and leaves of absence. 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 View email address on aiapply.co 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.
$139k - $235k
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