Senior Director, Provider Contracting Evernorth Health Services
$177.4k - $295.6kCigna Group
POSITION SUMMARY
his position assists the VP of Pharma Strategy and Contracting with setting the strategy and ensures the effective execution of ESI Pharma rebate contracts. This position has responsibility for up to half of the Pharmaceutical manufacturers for our Medicare Commercial Government LTC and Managed Medicaid books of business as well as working with Ascent Health Services on our overall Commercial rebate strategy.
ESSENTIAL FUNCTIONS
Responsibilities for this role include but are not limited to any and all of the following areas:
Assisting the VP of Pharma Strategy and Contracting in determining manufacturer product class and drug strategies and executing on these strategies
Collaborate with Ascent Health Services on product class strategies and approaches with pharmaceutical manufacturers for our Commercial book of business that creates win-win opportunities for ESI and Ascent.
Manage Pharma relationships and develop Strategic partnerships with targeted Pharma companies across multiple internal departments within ESIs Supply Chain.
Interact with the Value Assessment Committee (Commercial and Medicare) to develop and create product category strategies and pharma manufacturer rebate requests to maximize value and deliver cost savings.
Consult and provide insight with any and all Cigna Health Plan and large Custom Client formulary and rebate requests or market strategies.
Assist the Account Directors in finalizing all manufacturer rebate agreements and matrices to ensure accuracy signature and implementation for invoicing.
Support Sales and Account Management on RFPs and/or presentations or discussions with clients.
Represent our department and provide guidance and formulary strategies for Custom Clients and assist the Formulary Consultants on any rebate requests.
Interact with cross-functional management teams including clinical account management operations finance and specialty business development as needed.
QUALIFICATIONS
8 years of relevant experience.
Registered Pharmacist (RPh or PharmD) and/or MBA a plus but not required
Strong financial acumen with an understanding of supply chain dynamics.
Strong interpersonal skills with the ability to collaborate well with both internal and external teams and stakeholders.
Exceptional written and verbal communication skills and presentation skills.
Solid negotiation skills with the ability to influence and persuade while balancing the needs of the organization and external partners.
Adaptable with the ability to navigate complex dynamics and ambiguity. Ability to effectively cope with setbacks.
Honest direct and transparent communication style.
Self-starter who can work well independently as well as with the broader team.
This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan.
At The Cigna Group youll enjoy a comprehensive range of benefits with a focus on supporting your whole health. Starting on day one of your employment youll 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 for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
Cigna 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.
Required Experience:
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