Data senior advisor
This is a hybrid position (3 days per week in-office + 2 days work at home). The incumbent candidate can be based out of any US Cigna Healthcare office. This position is a Hybrid role where the Cigna policy requires office alignment but is not restricted to locations that are identified in this posting.
The Data Measurement & Reporting Senior Advisor role encompasses a range of responsibilities focused on supporting medical benefit client implementations, managing client data and reporting, invoicing, and contract compliance. The below duties ensure smooth client onboarding, accurate medical benefit audit support, and effective communication between internal stakeholders, clients, and manufacturers.
Job Duties:
Facilitates new client onboarding by working cross-functionally across internal teams to resolve data and reporting issues, and acts as a liaison to express client needs to internal teams.
Collaborates with the Pharma Web Portal Admin Team to troubleshoot manufacturer access concerns related to the medical benefit reports within the Pharma Web Portal.
Owns reconciling medical benefit client share data, generating and analyzing quarterly medical benefit rebate invoices, maintaining drug market basket files to support client rebate contract compliance
Provides support to the Quality and Assurance Principal inclusive of, but not limited to, financial reporting, payment reconciliations, and drug rule system builds and client implementation tasks.
Generates custom medical benefit client reports, performs ad-hoc data research, calculates ASP rates for quarterly invoices, and provides general medical support by answering cross-functional questions and assisting with client applications.
Supports financial analytics for Home Delivery pharmacy services as needed.
Qualifications:
Bachelor’s degree in business analytics, finance, healthcare management, or related field; or work equivalent experience. Masters degree preferred.
5+ years' relevant health care experience required. PBM/Health Plan experience preferred.
Strong business analysis skills and familiarity with financial models. Ability to develop and model hypotheses and conclusions while identifying assumptions.
Demonstrated successful and resolution-focused interaction with Sales, Account Management, Pharma Contracting and Product Management team.
Strong commitment to client service and business division goals, and willingness to develop and be mentored for career development.
Demonstrated ability to prioritize and manage work load and meet project deadlines. Experience leading teams to define, scope, analyze and resolve strategic issues.
Excellent verbal and written communication skills required.
Willingness to share opinions and take risks.
Takes initiative, independent thinker and worker.
Ability manage data to support product strategy.
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 111,500 - 185,900 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.
We want you to be healthy, balanced, and feel secure. That’s why 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) with company match, 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, visit Life at Cigna Group.
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 require reasonable accommodation in completing the online application process, please email: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.
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.
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