Risk & Underwriting Senior Director, Retail Network - Evernorth Health Services (Hybrid) job opportunity at The Cigna Group.



DatePosted 17 Days Ago bot
The Cigna Group Risk & Underwriting Senior Director, Retail Network - Evernorth Health Services (Hybrid)
Experience: 8-years
Pattern: full-time
apply Apply Now
Salary:
Status:

Retail Network - Evernorth Health Services (Hybrid)

Copy Link Report
degreeAssociate
loacation St. Louis, MO, United States Of America
loacation St. Louis, MO....United States Of America

ROLE SUMMARY: This position will manage a team of underwriters in support of developing retail network pricing strategies for portfolio of clients.  The Senior Director will be accountable for managing clients’ end to end retail network financials by serving as the strategic advisor through leveraging market competitive strategies, knowledge of supply chain economics, and conducting complex analyses. This role plays a vital part in achieving our goal to help clients drive down the cost of care.  Lead a team of underwriters in the development of pricing strategies and underwrite offers to win and retain clients while also maximizing profitability  Work with Sales and Account Management to review, strategize and analyze renewal and new sales opportunities for a portfolio of clients Responsible for effectively communicating with Senior Leadership, SAM and other business partners in the delivery of ESI opportunities to grow and manage financial results, including the preparation of strategic internal and external directed presentations Manage portfolio of clients to Strat Plan and Budget targets by managing client specific rate relief for retail network. Work with product areas to assist in the development of program pricing for clients. Provide senior leadership analyses to steer key internal initiatives and projects Champion continuous innovation and improvement to existing best practices ESSENTIAL FUNCTIONS AND SCOPE OF JOB :   Provide retail network specific underwriting support to SAM for renewing and new sales clients by providing senior leadership oversight to client-specific pricing strategies with competitive offers in the marketplace for RFPs, Direct Renewal and Market Checks. Oversee analytical, quantitative, and financial cost modeling for clients with varying lines of business including Commercial Employer Groups, Medicare Part D, Medicaid and Health Care Exchange and present to Senior Leadership Provide pricing support to SAM for all ad hoc analyses which have a potential financial impact. Ensure pricing model accuracy by reviewing, analyzing and reporting for all pricing requests that affect retail network. Provide support related to contracting process and install process. Work collaboratively with internal partners to ensure we are proposing financial offers in alignment with underwriting 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 Development of new strategic insights for positioning pricing and/or analytics to clients. Provide management of key internal initiatives and projects. Champion a superior team culture including training, recognition, and employee engagement. THE PERSON EXPERIENCE/KNOWLEDGE, EDUCATION & OTHER REQUIREMENTS:   Bachelor’s degree in Business, Finance or a related field. An MBA and/or CPA is desirable At least 8+ years relevant work experience in pricing and/or underwriting Strategic thinker with strong critical thinking skills and the ability to solve complex problems Proficient project manager who is able to lead multiple processes and systems simultaneously and deliver on tight and moving deadlines Ability to drive change and create a new perspective using existing solutions Collaborative and accountable team player with the ability to "hold the line" Works independently with minimal guidance Strong relationship-building with internal and external partners Represents the organization in providing solutions to difficult technical issues associated with specific projects Effective verbal and written communication skills 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 Proven ability to build strong, engaged, and effective teams EXPECTED COMPETENCIES/BEHAVIORS:   Strategic Judgement & Adaptability - Operates beyond their functional lane; leads through ambiguity and change, makes sound decisions with incomplete information.  People Leadership & Culture - Develops talent, manages performance honestly, deliberately builds team identity and a high performing environment.  Cross-Functional Leadership - Drives outcomes across teams and functions they do not control; builds influence; navigates competing priorities and peer-level friction. Strong in strategy development, communication and execution Strong business and financial acumen Client centric / customer focused Ability to build strong relationships with senior members of client organization Ability to build and manage strong internal teams Demonstrate the ability to negotiate cross functionally to drive client issues to resolution. 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. 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: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com 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.

Other Ai Matches

HIH - QA & Testing Senior Analyst Applicants are expected to have a solid experience in handling Job related tasks
Risk & Underwriting Senior Advisor- Strategy and Financial Analysis- Express Scripts - Hybrid Applicants are expected to have a solid experience in handling Job related tasks
Regional Consultant Strategy Lead (Hybrid) Applicants are expected to have a solid experience in handling Job related tasks
Home Infusion Nurse, 32 hours – Accredo - Detroit MI Applicants are expected to have a solid experience in handling 32 hours – Accredo - Detroit MI related tasks
Pharmacy Technician Associate Representative- Accredo Applicants are expected to have a solid experience in handling Job related tasks
HIH - Architecture Associate Advisor Applicants are expected to have a solid experience in handling Job related tasks
Sr. New Business Manager; O500 (Hybrid; MD/VA/DC) Applicants are expected to have a solid experience in handling Job related tasks
Cloud Engineering Lead Analyst - HIH - Evernorth Applicants are expected to have a solid experience in handling Job related tasks
Business Architect, Operations Senior Advisor - Cigna Healthcare - Remote Applicants are expected to have a solid experience in handling Operations Senior Advisor - Cigna Healthcare - Remote related tasks
Risk & Underwriting Advisor, Retail Network - Express Scripts - Hybrid Applicants are expected to have a solid experience in handling Retail Network - Express Scripts - Hybrid related tasks
Database Administration Senior Analyst - HIH - Evernorth Applicants are expected to have a solid experience in handling Job related tasks
RN Health Coach or Health Educator - Evernorth - Johnston RI Applicants are expected to have a solid experience in handling Job related tasks
Technical Support Senior Analyst - HIH - Evernorth Applicants are expected to have a solid experience in handling Job related tasks
Software Engineering Analyst - HIH - Evernorth Applicants are expected to have a solid experience in handling Job related tasks
Software Engineering Manager - HIH - Evernorth Applicants are expected to have a solid experience in handling Job related tasks
Fixed Income Trading Assistant/Junior Trader - Cigna Investment Management (CIM) - Hybrid Applicants are expected to have a solid experience in handling Job related tasks
Operations Senior Analyst - HIH - Evernorth Applicants are expected to have a solid experience in handling Job related tasks
Fraud Senior Analyst –Payment Integrity Provider Investigation APAC Team Applicants are expected to have a solid experience in handling Job related tasks
Network & Provider Data Value Management Sr. Advisor - Evernorth - Remote Applicants are expected to have a solid experience in handling Job related tasks
Home Infusion Nurse, Per Diem – Accredo - Key West, FL Applicants are expected to have a solid experience in handling Per Diem – Accredo - Key West, FL related tasks
Software Engineering Associate Director - Evernorth Applicants are expected to have a solid experience in handling Job related tasks
Software Engineering Lead Analyst - HIH - Evernorth Applicants are expected to have a solid experience in handling Job related tasks
Financial Analyst - CarepathRx Applicants are expected to have a solid experience in handling Job related tasks