What are the responsibilities and job description for the Risk & Underwriting Senior Advisor - Evernorth - HYBRID position at Evernorth Health Services?
Position Summary
The Risk and Underwriting Senior Advisor role will be responsible for all pricing activities in supporting Sales and Account Management (SAM) for renewing and new sales clients. The Risk and Underwriting Senior Advisor will develop client-specific pricing strategies with competitive offers in the marketplace for all requests, including understanding and driving toward alternate pricing models. These requests may include Request for Proposals (RFPs), Direct Renewals, Coalition Support, and Market Checks. The expectation is that the Risk and Underwriting Senior Advisor will lead more strategic and complex pricing activities as well as provide training and support to Pricing Analysts and Senior Pricing Analysts for their activities. The Risk and Underwriting Senior Advisor will also provide pricing support for all ad hoc analyses (i.e. evaluating a change in formulary request, evaluating a change in retail network or retail arrangement request retail requests, evaluating a change in specialty arrangement request, etc.) with a potential financial impact. The Risk and Underwriting Senior Advisor will be required to gain in-depth knowledge of the PBM Industry, industry trends, and ESI-specific pricing methods. The Risk and Underwriting Senior Advisor will be required to follow the Pricing Guidelines provided by ESI’s Pricing Governance Team.
Essential Functions
For this position, we anticipate offering an annual salary of 106,700 - 177,800 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 and paid holidays. 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 seeyourself@thecignagroup.com 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.
The Risk and Underwriting Senior Advisor role will be responsible for all pricing activities in supporting Sales and Account Management (SAM) for renewing and new sales clients. The Risk and Underwriting Senior Advisor will develop client-specific pricing strategies with competitive offers in the marketplace for all requests, including understanding and driving toward alternate pricing models. These requests may include Request for Proposals (RFPs), Direct Renewals, Coalition Support, and Market Checks. The expectation is that the Risk and Underwriting Senior Advisor will lead more strategic and complex pricing activities as well as provide training and support to Pricing Analysts and Senior Pricing Analysts for their activities. The Risk and Underwriting Senior Advisor will also provide pricing support for all ad hoc analyses (i.e. evaluating a change in formulary request, evaluating a change in retail network or retail arrangement request retail requests, evaluating a change in specialty arrangement request, etc.) with a potential financial impact. The Risk and Underwriting Senior Advisor will be required to gain in-depth knowledge of the PBM Industry, industry trends, and ESI-specific pricing methods. The Risk and Underwriting Senior Advisor will be required to follow the Pricing Guidelines provided by ESI’s Pricing Governance Team.
Essential Functions
- Provide pricing support to SAM for renewing and new sales clients by developing client-specific pricing strategies with competitive offers in the marketplace for RFPs, Direct Renewal and Market Checks.
- Provide pricing support to SAM for ad hoc analyses which have a potential financial impact.
- Provide support related to contracting process and install process for Commercial Division renewing and new sales clients.
- Work collaboratively with internal partners to ensure we are proposing financial offers in alignment with Pricing Guidelines.
- Ensure consistent approach to market and BA’s.
- Support Strat Plan, Budget, and Forecast development of Rate Relief, Pass-Through Shortfall, and Gross Margin.
- Provide training and support to other Junior/Senior Risk and Underwriting Analysts for their activities.
- Solves complex problems.
- Takes a new perspective using existing solutions.
- Provides input on new solutions.
- Works independently and receives minimal guidance.
- Develops strong relationships with internal and external partners.
- Represents the organization in providing solutions to difficult technical issues associated with specific projects.
- Ensure pricing model accuracy by reviewing, analyzing and reporting for all pricing requests.
- Bachelor’s degree in Economics, Statistics, Mathematics, Finance, or equivalent work experience.
- 5 years relevant work experience in pricing and/or underwriting.
- Strong analytical and problem solving skills, advanced ability with Microsoft Office & Excel.
- Entrepreneurial attitude; Ability to take ownership and deliver results; Experience in deal pricing and optimization or underwriting; Strong understanding of client analytics, financials, and value trade offs.
For this position, we anticipate offering an annual salary of 106,700 - 177,800 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 and paid holidays. 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 seeyourself@thecignagroup.com 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.