Senior Advisor, Network Underwriting Analysis - Express Scripts

Senior Advisor, Network Underwriting Analysis - Express Scripts

Senior Advisor, Network Underwriting Analysis - Express Scripts

Job Overview

Location
Franklin Lakes, New Jersey
Job Type
Full Time Job
Job ID
43252
Date Posted
4 months ago
Recruiter
Julia Hart
Job Views
176

Job Description

POSITION SUMMARY

The Senior Advisor, Network Underwriting Analysis 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

  • 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

QUALIFICATIONS

  • Bachelor’s Degree in Finance, Statistics, Mathematics, Economics, or equivalent work experience
  • 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

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.

This position is not eligible to be performed in Colorado.

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: 43252

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