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Senior Advisor Medicaid and Marketplace Strategy - Evernorth Health Services - Hybrid

$126.3k - $210.5k

CarepathRx

Senior Advisor, Medicaid & Marketplace Strategy

We are looking for a strategic, client-focused leader who is passionate about improving outcomes in Medicaid and Marketplace. In this role, you will help health plan clients navigate change, strengthen performance, and unlock growth. You will bring clarity to complex policy and market dynamics while shaping practical, forward-thinking strategies. If you enjoy partnering with others, influencing decisions, and making a measurable impact, this is an opportunity to grow your expertise and help clients succeed.

Responsibilities

  • Advise Medicaid and Marketplace clients on strategies that align policy, operations, affordability, and growth priorities
  • Translate federal and state policy changes into clear insights and actionable recommendations that support business decisions
  • Lead or contribute to market assessments, competitive insights, and trend analysis that inform client strategy, renewals, and expansion opportunities
  • Partner across account management, sales, product, clinical, operations, and government affairs to align strategies and drive execution
  • Support client retention and growth by shaping renewal strategies, expansion plans, and RFP or finalist positioning
  • Represent client needs and perspectives in internal planning to influence product development, solution design, and regulated market initiatives
  • Develop clear, executive-ready presentations and strategic materials that help clients make confident decisions
  • Balance multiple priorities while delivering thoughtful, high-quality work in a fast-paced, collaborative environment

Qualifications

Required

  • 7+ years of experience in regulated markets, pharmacy benefit management, health plan strategy, consulting, or a related client-facing role
  • Strong knowledge of Medicaid, Marketplace, and government programs, including policy, quality, and operational considerations
  • Ability to interpret complex information and turn it into practical, actionable guidance
  • Strong communication skills, with experience creating clear and compelling presentations for senior leaders
  • Proven ability to build relationships and influence across a matrixed environment
  • Strong problem-solving and analytical skills with a focus on driving outcomes
  • Ability to manage multiple priorities and stay organized in a dynamic environment

Preferred

  • Bachelor's degree in business, healthcare administration, public policy, pharmacy, or a related field
  • Advanced degree (e.g., MBA, MHA, MPH, PharmD)
  • Experience working directly with health plan clients on strategy, growth, or performance improvement
  • Familiarity with pharmacy benefit strategy within regulated markets

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 126,300 - 210,500 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.

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 click.appcast.io 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.

CarepathRx
Vacancy posted 4 days ago
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