Oversees pharmacy contractual guarantees through performance analysis, forecasting, and pricing recommendations to achieve guarantee targets. Manages provider contracts throughout the contract lifecycle and partners with cross-functional teams to support negotiations, contract performance, and strategic initiatives. Leads complex analyses, presents recommendations to leadership, and serves as a subject matter expert in provider guarantees and pharmacy pricing.

Joining the Retail Network and Provider Guarantees team provides a unique opportunity to gain expertise in provider pricing agreements and contract performance management. Team members develop specialized knowledge in areas such as provider guarantees, claims adjustment analysis, retail network strategy, and specialty pharmacy negotiations while collaborating with business partners across the organization.

Responsibilities:

• Manage pharmacy pricing strategies to meet contractual guarantee targets.
• Review provider contracts to ensure pricing terms and guarantees are accurately implemented.
• Track, analyze, and report provider guarantee performance.
• Recommend pricing and system adjustments to support contractual obligations.
• Maintain and enhance the provider guarantees database and reporting tools.
• Partner with Contracting, Finance, Product, and Operations teams to support negotiations and performance inquiries.
• Lead claims-based analyses to support strategic initiatives and business decisions.
• Identify and implement process improvement opportunities.

Qualifications:

• Bachelor’s degree preferred or 3 plus years of equivalent work experience
• Proficient with Microsoft Excel;  Experience with SQL required
• 3-5 years plus of experience in Financial Analysis, or related area
• 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
• Strong verbal/written communication skills to work with various matrix partners
• Knowledge of PBM or Healthcare industry preferred

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 96,800 - 161,300 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, 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 [email protected] 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.