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Cigna Pharmacy Risk and Underwriting Advisor (Hybrid)

The Cigna Group
Chattanooga, TN Full Time
POSTED ON 7/24/2026
AVAILABLE BEFORE 8/21/2026
Role Summary

Drive profitable growth across a complex pharmacy portfolio by developing data-driven pricing strategies, leading customer negotiations, and partnering closely with Sales to win and retain business. Leveraging advanced analytics, financial modeling, and market intelligence, you will influence pricing decisions, product positioning, underwriting practices, and go-to-market strategies that deliver value for customers and the business.

Key Responsibilities

  • Manages an assigned book of pharmacy business with accountability for profitable

growth, persistency, and earnings performance.

  • Conducts case-specific risk assessments and develops account-level pricing strategies.
  • Leads rate development and customer negotiations in collaboration with Sales for

complex pharmacy accounts.

  • Develops, executes, and monitors account plans to drive growth and profitability.
  • Analyzes market trends and competitive dynamics to deliver strategic

recommendations on pricing and product positioning.

  • Influences underwriting best practices and provides consultative input to matrix

partners on product development and pricing strategy.

  • Serves as a subject matter expert (SME) supporting Medical Underwriting teams and

broader stakeholders.

Qualifications

  • 5 years of experience in Pharmacy Underwriting or related fields
  • Experience working with large datasets and applying data-driven insights to business decisions.
  • Proven ability to make sound decisions with a strong understanding of internal and

external financial implications

  • Experience using SQL, reporting tools, or other analytical platforms to support pricing and underwriting decisions.
  • Bachelor’s degree or equivalent relevant work experience required
  • In-depth knowledge of market dynamics, competitive conditions, and pricing drivers

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 88,700 - 147,800 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, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.

About Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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.

Salary.com Estimation for Cigna Pharmacy Risk and Underwriting Advisor (Hybrid) in Chattanooga, TN
$77,838 to $98,442
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