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The Senior Advisor, Provider Contracting and Strategy is responsible for the renewal and ongoing management contracting activities of assigned retail providers and supporting ESI’s strategic initiatives related to network access. Direct interface with industry executives from the respective account, managing the contracting relationship with assigned providers. Assume a role in overall performance management, strategic planning and analytical development as it relates to ESI’s performance of the provider contract. Coordinate management of Supply Chain functions, including, but not limited to, reporting and operations. Manage retail provider client-specific custom initiatives related to network contracting and solicitations, often in a condensed time frame.
Essential Functions
Strategic development, execution, analysis and assignment of work plan initiatives including but not limited to network development, provider contracting/re-contracting.
Provide direction and supervision of network goals pertaining to contract language/structure revisions and re-contracting.
Maintain working strategic knowledge and operational understanding of assigned chains necessary to provide insight to their individual financial influence and the relationship to the global impact for ESI and its clients.
Serve as project manager and liaison to ESI clients and Sales & Account Management, for purposes of executing strategic network initiatives and custom network requirements.
Represent Network Contracting in the development and presentation of the Express Scripts message at various venues including retail corporate meetings and national conventions such as NCPDP and NACDS.
Qualifications
Bachelor’s/Master’s degree in related field strongly preferred.
At least 5 years of retail pharmacy contracting experience.
Knowledge of the healthcare, PBM industry and products.
Excellent oral and written communication skills and presentation skills.
Ability to manage and motivate indirect reports.
Problem solving and analytical skills.
Project management/organizational skills.
Ability to work cross-functionally to resolve complex client issues.
Strong focus on customer service.
Ability to manage timelines and meet tight client deadlines.
Microsoft Office and Microsoft Excel.
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 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.
