Demo

Risk & Underwriting Senior Advisor

The Cigna Group
St. Louis, MO Other | Full Time
POSTED ON 4/23/2026
AVAILABLE BEFORE 6/23/2026
The job profile for this position is Risk & Underwriting Senior Advisor, which is a Band 4 Senior Contributor Career Track Role.

Excited to grow your career?

We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply!

Our people make all the difference in our success.

We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply!

Our people make all the difference in our success.

Are you looking for a career that will directly impact business outcomes and earning results?

If you’re looking to add value, make an impact, and use strong analytical and math skills in a fast-paced environment, a career within the Underwriting & Analytics team at Evernorth will allow you to do all this and more. As part of our Underwriting team, you will directly impact our business on a daily basis, protecting Cigna‘s sound financial position which enables us to meet our financial commitments to our customers.

The Risk & Underwriter Senior Advisor role will be responsible for all underwriting activities in supporting Sales and Account Management (SAM) for renewing a portfolio of clients and for new sales clients.  The Risk & Underwriter Senior Advisor will develop client-specific pricing strategies with competitive offers in the marketplace for all requests.   These requests may include Request for Proposals (RFPs), Direct Renewals and Market Checks. The Risk & Underwriter Senior Advisor will also provide underwriting support for ad hoc and complex analyses with a potential financial impact.  The Risk & Underwriter Senior Advisor will be required to gain in-depth knowledge of the PBM Industry and ESI-specific underwriting methods.

What you’ll be doing in this role:

  • Provides expert content/professional leadership on complex Risk & Underwriting assignments/projects

  • Manages assigned book of business focused on attaining profitable growth, persistency, and earnings.

  • Performs case-specific risk assessments.

  • Performs account level rate development and conducts customer negotiations with Sales on a more complex book of business.

  • Develops and monitors account earnings plans to achieve growth and profitability.

  • Develops strategic recommendations related to market competition, products and pricing.

  • Partners with sales department and brokers to deliver customer presentations and acts as financial consultant on case-specific issues.

  • Influences underwriting best practice and provides input to matrix partners on product development and pricing

  • Conducts ad hoc analyses which have a potential financial impact (i.e. evaluating a change in formulary request, evaluating a change in retail network or retail arrangement requests, evaluating a change in specialty arrangement request, etc.)

  • Advise on contracting process and install process for renewing and new sales clients

  • Responsible for effectively communicating with Leadership, SAM and other business partners in the delivery of ESI opportunities to grow and manage financial results, including the preparation of strategic directed presentations.

  • Manage portfolio of clients to Strategic Plan and Budget targets by managing client specific rate relief

  • Ensure client contract compliance by reviewing and approving financial performance guarantees

  • Participate in department and company projects

What you’ll have to be successful in this role:

  • Bachelor’s degree in Business Administration with a preference for the following major and/or minors Risk Management, Economics, Statistics, Mathematics, or Finance

  • 7 years of risk and/or underwriting experience

  • Financial/analytical mindset

  • Experience in Pharmacy Benefits Manager (PBM), Managed Care, Healthcare, Pharmaceutical preferred

  • Strong interpersonal and presentation skills

  • Strong analytical and problem-solving skills

  • Ability to support own position with data and rationale, while being open to possibility that it may need to be re-examined

  • Ability to build partnerships and work collaboratively with others to meet shared objectives

  • Ability to make good and timely decisions by interpreting and applying understanding of key financial indicators

  • Strong motivation to persevere despite challenges

  • Excellent verbal and written communication skills

  • Business acumen with leadership, innovative thinking, and customer centric mindset

  • Self-starter; able to work on multiple projects simultaneously

  • Strong ability with Microsoft Office Platforms and Proficient in SQL

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 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.

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.

Please note that you must meet our posting guidelines to be eligible for consideration.  Policy can be reviewed at this link.

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 Risk & Underwriting Senior Advisor in St. Louis, MO
$128,278 to $158,322
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