Actuarial / Business Analytics Lead Analyst (Pharmacy Rebates)

Actuarial / Business Analytics Lead Analyst (Pharmacy Rebates)

Actuarial / Business Analytics Lead Analyst (Pharmacy Rebates)

Job Overview

Location
Denver, Colorado
Job Type
Full Time Job
Job ID
43687
Date Posted
4 months ago
Recruiter
Julia Hart
Job Views
311

Job Description

The Actuarial / Business Analytics Lead Analyst will be responsible for reviewing, analyzing and manipulating datasets to support calculation and validation work for Pharmacy and Medical rebate sharing with Cigna's clients. Diverse knowledge of data analysis, various Cigna data platforms, and ability to navigate between different data sets is required. The Actuarial / Business Analytics Lead Analyst will own monthly and quarterly rebate sharing calculations and validation processes and help with related clients audits.

Responsibilities:

Pharmacy and Medical Rebate Sharing Analytics and Audit

  • Oversee administration of the Pharmacy and Medical rebate sharing terms for Cigna's clients, based on their ASO contracts with Cigna and rebates billed by ESI.

  • Work with Underwriting, Sales Effectiveness, Contracting Unit, Accounting and Finance on establishing and maintaining an internal audit process around the key rebate sharing terms.

  • Maintain a Looker database, currently reflecting the key sharing terms.

  • Support external rebate sharing client audits with data and analysis.

  • Develop a predictive-analysis model to identify and address disconnects in the client sharing terms.

  • Own various reports related to rebate sharing and support reporting requests from Sales, Underwriting and Finance.

  • Connect new program design decisions and analytics with rebate sharing (e.g., Patient Assurance Program, Manufacturer Copay Assistance Program).

Business Partnerships

  • Work with Pharmacy Economics, Accounting, and IT teams, as well as the extended Cigna/ESI Pharmacy management team (Pricing, Sales, Finance, Rebate and Network Contracting and Product) to drive consensus and action.

  • Be a Rebate financial term expert.  Understand the nuances of Rebates in order to provide team members with data support and analysis. Proactively investigate opportunities to improve rebate performance.

  • Serve as a querying/technical expert and train others on the team/matrix partners in SQL querying and Excel.

  • Support a team environment that emphasizes learning, sharing, and continual improvement.

Qualifications

  • Bachelor’s degree in Actuarial Science, Finance, Information Management, Mathematics or related field strongly preferred

  • 3+ years of actuarial, business analytics, data analytics or related experience strongly preferred

  • Experience with technical skills in data extraction with tools such as SQL, SAS EG, TOAD and Hue strongly preferred

  • Experience with data analysis, data management, and/or pharmacy is preferred

  • Experience working with large amounts of data

  • Strong verbal and written communication skills

  • Strong analytical skills

This role is Flex/WFH which allows most work to be performed at home or on occasion at a Cigna office location. Employees must be fully vaccinated if they choose to come onsite.

For this position in Colorado, we anticipate offering an annual salary of $86,000 - $143,300, depending on relevant factors, including experience.

This role is also anticipated to be eligible to participate in an annual bonus plan.

Helping our customers achieve healthier, more secure lives is at the heart of what we do. While you take care of our customers, we’ll take care of you through a comprehensive benefits program that helps you be at your best. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and best in class well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and dozens of corporate discounts on essentials you use every day. For more details on our employee benefits programs, please visit the “Life at Cigna” tab on our careersite: www.cigna.com/careers

About Cigna

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you’ll enjoy meaningful career experiences that enrich people’s lives. What difference will you make?

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: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

Job ID: 43687

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