- Provide financial analysis and modeling related to retail network underwriting support, which includes NGE model reviews, modeling custom networks or overrides where appropriate and researching and explaining unusual NGE network results
- Partners closely with Pharmacy Network Strategy to ensure the most advantageous networks are modeled
- Works with the NGE support team to create enhancements to the model for improved accuracy, to build out new network options and to increase the scope of retail network modeling
- Assist with retail network assumption table updates for NGE to ensure the latest information is used
- Assists in underwriter training when necessary to ensure proper usage of NGE
- Bachelor's Degree in Finance, Statistics, Mathematics, Economics, or equivalent work experience
- At least 6 years of extensive experience in Healthcare, Financial Analysis, or related area
- Proficient with Microsoft Excel; Experience with SQL/SAS/Access a plus
- Demonstrate modeling, trending and forecasting skills; client guarantee underwriting knowledge preferred
- Demonstrate initiative with commitment and ability to work under pressure and meet tight deadlines
- Proven ability to work collaboratively in complex matrix organizations and agile teams
- Blend creativity, relentless problem-solving and business acumen to drive innovation through analytics
- Strong verbal/written communication skills to work with various matrix partners, including but not limited to underwriting, pharmacy network strategy and the team supporting NGE.
- Knowledge of PBM or Healthcare industry preferred
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Financial Analysis Senior Advisor, Network Underwriting - Morris Plains, United States - Cigna
Description
POSITION SUMMARYThe Financial Analysis Senior Advisor provides the underwriting support process for Express Script's Retail Pharmacy Network. The Senior Advisor is expected to provide modeling and analytics associated with network underwriting. By partnering with underwriting, the Next Generation Engine (NGE) support team and network contracting, this role will help structure client network deals to win and retain business.
ESSENTIAL FUNCTIONS
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 require reasonable accommodation in completing the online application process, please email: for support. Do not email for an update on your application or to provide your resume as you will not receive a response.
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.