Risk & Underwriting Lead Analyst - HYBRID - Evernorth
CarepathRx
Risk & Underwriting Lead Analyst For Specialty Pricing
This is a HYBRID position with on-site presence in St. Louis, MO. Only local candidates will be considered.
POSITION SUMMARY
The Risk & Underwriting Lead Analyst for specialty pricing will support financial analyses and consultation of Express Scripts clients. This will include analytical, quantitative, and financial cost modeling assistance in support of Account Management and clients. On-going management of a client's contract to ensure compliance with financial terms. Develop pricing for client renewals and prospects from P&L modeling to overseeing execution of client contract. Manage client profitability to targets and guidelines. Respond to RFP financial requests. Work with Sales and Account Management in creating pricing strategies. Assist in the presentation and negotiation of client deals.
ESSENTIAL FUNCTIONS
- Develop specialty pricing strategy and underwrite offers to win and retain clients while also maximizing profitability.
- Conduct analytical, quantitative, and financial cost modeling for clients with varying lines of business including Commercial Employer Groups, Medicare Part D, Medicaid and Health Care Exchange and present to leadership.
- Work with Sales and Account Management to review, strategize and analyze client renewal and new sales opportunities.
- Support Senior Leadership in business management through understanding margin and performance drivers.
- Negotiate and manage the set-up of a client's contract to ensure compliance with financial terms and pricing guarantees.
- Participate in department and company projects.
- Develop and improve existing best practices for client support and financial modeling.
QUALIFICATIONS
- BS in Economics, Statistics, Finance or other quantitative area; MBA a plus.
- 2+ years of relevant financial/analytical experience - underwriting preferred.
- PBM / Managed Care / Healthcare / Pharmaceutical experience preferred.
- Strong interpersonal and presentation skills.
- Excellent quantitative and analytical skills, financial modeling skills a plus.
- Excellent PC skills.
- Strong written/verbal communication skills.
- Self-starter; able to work on multiple projects simultaneously.
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.
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 talent.com 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.
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