Product Strategy Senior Advisor

OVERVIEW:

The Strategic Insights & Solutions team is looking for analytical experts with experience in some combination of the below areas of focus. Individuals must be able to retrieve data, complete analyses and model solutions in order to provide meaningful insights and recommendations for plans to manage their benefit costs. The Senior Advisor must be able to understand the mechanics behind existing models or how to build new models using the Information Warehouse or other data applications and must have the creativity and flexibility to also support product discussions and understand when a custom solution is warranted.

JOB DESCRIPTION:

An integral member of a new team that will help create, lead and drive product and customized solution recommendations supporting strategic client account teams. This position will partner with and support the SIS team Principals with analytic support and consultation as the team looks holistically at the opportunities for the client, addressing client specific and customized solution needs that drive down overall healthcare spend. The Senior Advisor will work both independently and collaboratively to perform financial and data analysis of client specific data to identify and create customized and consultative solutions for clients while funneling book of business product opportunities into the core product teams. They will leverage existing tools and models when possible, and create new models if appropriate leveraging analytical expertise. The Senior Advisor may be required to project manage specific deliverables and client work to ensure milestones are being met and work is being done timely and on schedule. Accountability for client retention, satisfaction and growth will be shared across the SIS team.

ESSENTIAL FUNCTIONS:

• Use SQL, BiQuery, Excel and Tableau to aid in analytical requests and proactive opportunity identification
• Leverage reports and tools at Express Scripts – Extracts and comparisons of formulary, drug lists, CPC’s, pipeline reports, and various reports and financial/clinical models within the Analyst tool
• Perform analysis of claims utilization including analysis of trend, most common indications, drug level market share, channel management, patient behavior, benchmarking, key performance indicators, etc.
• Perform deep analysis on client data to provide meaningful insights that identify key areas of opportunity
• Create visualization of insights, using graphs, charts, reporting and other visualization tools
• Leverage analytical expertise, creativity and collaboration to turn meaningful insights into actionable items
• Collaborate with Principals on analysis, strategy and client consultation
• Project manage deliverables to ensure milestones are hit and work is being done timely and on schedule
• Bring forward ideas/recommendations from areas of subject matter expertise to clients, account teams, and product leaders
• Support efforts piloting solutions and custom product development
• Share insights, pain points, and new ideas with product team partners
• Work directly with Account Team to support requests and client insights
• Build new analytical models that highlight value or provide client insights
• Support analysis and modeling in one or more core pillars:
  • Pharmacy optimization - expertise in network products, contracts, client in-house pharmacies, 340b, DIR, etc.
  • Drug level optimization - expertise in client formulary, generics, UM, DUR, RTS, biosimilars, rebates, etc.
  • Benefit optimization - expertise in benefit design, tiered copay structures, copay card solutions, discount cards, accumulators, patient affordability programs and solutions, benefit wraps, etc.
  • Key conditions - expertise in key categories such as specialty/diabetes/oncology/ MSK/inflammatory/others, management across pharmacy and medical, site of care, product bundling and carve-out strategies, cross-sell coordination, clinical guarantees, etc.
  • Medicare/Medicaid – expertise in regulated markets

QUALIFICATIONS:

• 7+ years of experience within healthcare / PBM industry
• Bachelor's degree or equivalent experience; advanced degree or MBA desirable
• Technical knowledge of relational database concepts, querying, data warehouses and decision support tools, including but not limited to: SQL, BiQuery, Excel, and Tableau
• Excellent problem solving and analytical skills with the ability to analyze complex information and draw relevant conclusions
• Demonstrated experience building queries, pulling data, building models, performing complex analyses and summarizing findings (both written and visually)
• Ability to evaluate data and drive action to create additional value
• Ability to effectively communicate and collaborate with team to achieve team goals and support clients
• Ability to work in ambiguous or new situations by demonstrating a structured approach to diagnosing the problem, analyzing alternatives, recommending and implementing best solutions
• Knowledge in one or more of the core product pillars: Pharmacy optimization, Drug optimization, Benefit optimization, Clinical optimization, and Medicare/Medicaid

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.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

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.