Managing pharmacy pricing to meet contractual guarantees.
Reviewing pharmacy contracts and ensuring that all guarantees are accounted for.
Tracking, managing and reporting of pharmacy guarantee performance.
Recommend system’s adjustments for proper alignment to provider’s contractual guarantees
Monitor and optimize Provider Guarantee's database
Cross Functional support of internal business partners through ad hoc projects.
Lead analyses of claim data related to the assessment of strategic corporate initiatives and projects.
Analyze current processes and identify areas of improvement.
Requirements
Bachelor’s degree required (preferably in business, accounting, mathematics, statistics or finance)
3 – 5 years of business experience in analysis, modeling, pricing &/or data management.
Experience with all MS Office applications
Experience of data warehouse and/coding preferred (Visual Basic, Python, C++, SQL, R, Teradata)
Thorough knowledge of PBM business model.
Analytical, highly organized, able to work with little supervision, motivated to successfully meet deadlines, attention to detail and ability to multi-task.
Excellent Communication skills, oral and written.
Tech Stack
Python
SQL
Benefits
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.
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.