• Share :

POSITION SUMMARY

The Risk and Underwriting Senior Advisor role will be responsible for all pricing activities in supporting Sales and Account Management (SAM) for renewing and new sales clients. A Risk and Underwriting 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 expectation is that the Risk and Underwriting Senior Advisor will lead more strategic and complex pricing activities as well as provide training and support to Pricing Analysts and Senior Pricing Analysts for their activities. The Risk and Underwriting Senior Advisor will also provide pricing support for all ad hoc analyses (i.e. evaluating a change in formulary request, evaluating a change in retail network or retail arrangement request retail requests, evaluating a change in specialty arrangement request, etc.) with a potential financial impact. The Risk and Underwriting Senior Advisor will be required to gain in-depth knowledge of the PBM Industry and ESI-specific pricing methods. The Risk and Underwriting Senior Advisor will be required to follow the Pricing Guidelines provided by ESI's Pricing Governance Team.

ESSENTIAL FUNCTIONS

  • 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.

  • Provide training and support to other Junior/Senor Risk and Underwriting Analysts for their activities.

  • Represents the organization in providing solutions to difficult technical issues associated with specific projects.

  • Ensure pricing model accuracy by reviewing, analyzing and reporting for all pricing requests.

QUALIFICATIONS

  • Bachelor's Degree in Economics, Statistics, Mathematics, Finance.

  • 5+ years relevant work experience in pricing and/or underwriting.

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

  • Strong analytical and problem-solving skills, advanced ability with Microsoft Office & Excel.

  • 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 tradeoffs.

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 103,600 - 172,600 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:***for support. Do not email***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.

Read the full job description and apply online on the recuiter's web-site

Find Jobs Hiring Now Near You!

Get Jobilize Mobile App

Get Jobilize Job Search Mobile App Now

Receive real-time job alerts and never miss the right job again

Get it on Google Play Download on the App Store
Tax Preparer - Fully Remote - 2+Yrs Paid Tax Experience Required

Intuit


Overview Intuit is seeking Tax Associates for the upcoming tax season. If you have an active PTIN, we would love to connect with you! What You Get: • • Company Benefits: • 401(k) savings plan with Intuit matching, paid sick leave, Intuit provided E&O insurance, employee stock purchase plan, employee...


Travel Nurse RN - OR - Operating Room 2,484 per week

PRIDE Health


PRIDE Health is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Old Bridge, New Jersey. & Requirements • Specialty: OR - Operating Room • Discipline: RN • Start Date: 12/23/2024 • Duration: 13 weeks • 36 hours per week • Shift: 12 hours, nights • Employment Type: Travel...


Tax Preparer - Fully Remote - 2+Yrs Paid Tax Experience Required

Intuit


Overview Intuit is seeking Tax Associates for the upcoming tax season. If you have an active PTIN, we would love to connect with you! What You Get: • • Company Benefits: • 401(k) savings plan with Intuit matching, paid sick leave, Intuit provided E&O insurance, employee stock purchase plan, employee...


Registered Nurse RN - Ambulatory Surgery 40-61 per hour

ChristianaCare


ChristianaCare is seeking a Registered Nurse (RN) Ambulatory Surgery for a nursing job in Pennsville, New Jersey. & Requirements • Specialty: Ambulatory Surgery • Discipline: RN • Duration: Ongoing • Employment Type: Staff About ChristianaCare: ChristianaCare was recognized as one of "America's 100...


Tax Preparer - Fully Remote - 2+Yrs Paid Tax Experience Required

Intuit

  • US - NJ - NJ - Nutley

  • November 19, 2024


Overview Intuit is seeking Tax Associates for the upcoming tax season. If you have an active PTIN, we would love to connect with you! What You Get: • • Company Benefits: • 401(k) savings plan with Intuit matching, paid sick leave, Intuit provided E&O insurance, employee stock purchase plan, employee...


Home Health Physical Therapist 115K+ per year

LHC Group


LHC Group is seeking a Home Health Physical Therapist for a job in Egg Harbor Township, New Jersey. & Requirements • Specialty: Physical Therapist • Discipline: Therapy • Duration: Ongoing • Employment Type: Staff *Please note that the salary will be commensurate with experience. Summary The...


Tax Preparer - Fully Remote - 2+Yrs Paid Tax Experience Required

Intuit


Overview Intuit is seeking Tax Associates for the upcoming tax season. If you have an active PTIN, we would love to connect with you! What You Get: • • Company Benefits: • 401(k) savings plan with Intuit matching, paid sick leave, Intuit provided E&O insurance, employee stock purchase plan, employee...


Tax Preparer - Fully Remote - 2+Yrs Paid Tax Experience Required

Intuit


Overview Intuit is seeking Tax Associates for the upcoming tax season. If you have an active PTIN, we would love to connect with you! What You Get: • • Company Benefits: • 401(k) savings plan with Intuit matching, paid sick leave, Intuit provided E&O insurance, employee stock purchase plan, employee...


Tax Preparer - Fully Remote - 2+Yrs Paid Tax Experience Required

Intuit


Overview Intuit is seeking Tax Associates for the upcoming tax season. If you have an active PTIN, we would love to connect with you! What You Get: • • Company Benefits: • 401(k) savings plan with Intuit matching, paid sick leave, Intuit provided E&O insurance, employee stock purchase plan, employee...


Tax Preparer - Fully Remote - 2+Yrs Paid Tax Experience Required

Intuit


Overview Intuit is seeking Tax Associates for the upcoming tax season. If you have an active PTIN, we would love to connect with you! What You Get: • • Company Benefits: • 401(k) savings plan with Intuit matching, paid sick leave, Intuit provided E&O insurance, employee stock purchase plan, employee...


Home Health Physical Therapist 115K+ per year

LHC Group

  • US - NJ - NJ - Linwood

  • November 19, 2024


LHC Group is seeking a Home Health Physical Therapist for a job in Linwood, New Jersey. & Requirements • Specialty: Physical Therapist • Discipline: Therapy • Duration: Ongoing • Employment Type: Staff *Please note that the salary will be commensurate with experience. Summary The Physical Therapist...


Tax Preparer - Fully Remote - 2+Yrs Paid Tax Experience Required

Intuit

  • US - NJ - NJ - Sewell

  • November 19, 2024


Overview Intuit is seeking Tax Associates for the upcoming tax season. If you have an active PTIN, we would love to connect with you! What You Get: • • Company Benefits: • 401(k) savings plan with Intuit matching, paid sick leave, Intuit provided E&O insurance, employee stock purchase plan, employee...


Tax Preparer - Fully Remote - 2+Yrs Paid Tax Experience Required

Intuit

  • US - NJ - NJ - Teaneck

  • November 19, 2024


Overview Intuit is seeking Tax Associates for the upcoming tax season. If you have an active PTIN, we would love to connect with you! What You Get: • • Company Benefits: • 401(k) savings plan with Intuit matching, paid sick leave, Intuit provided E&O insurance, employee stock purchase plan, employee...


Tax Preparer - Fully Remote - 2+Yrs Paid Tax Experience Required

Intuit

  • US - NJ - NJ - Paramus

  • November 19, 2024


Overview Intuit is seeking Tax Associates for the upcoming tax season. If you have an active PTIN, we would love to connect with you! What You Get: • • Company Benefits: • 401(k) savings plan with Intuit matching, paid sick leave, Intuit provided E&O insurance, employee stock purchase plan, employee...


Travel Registered Respiratory Therapist 2,081 per week

KPG Allied

  • US - NJ - NJ - Summit

  • November 19, 2024


KPG Allied is seeking a travel Registered Respiratory Therapist for a travel job in Summit, New Jersey. & Requirements • Specialty: Registered Respiratory Therapist • Discipline: Allied Health Professional • Start Date: 12/16/2024 • Duration: 13 weeks • 36 hours per week • Shift: 12 hours •...


Travel Registered Respiratory Therapist 2,081 per week

Atlantic Health System Hospital 99 Beauvoir Avenue

  • US - NJ - NJ - Summit

  • November 19, 2024


Certification Details • BLS • State Licensure Job Details • The RRT will provide direct patient care services with specific emphasis on pulmonary function testing and initiation of CPAP devices; support requests for continued supply of durable medical equipment such as oxygen concentrators and...


Tax Preparer - Fully Remote - 2+Yrs Paid Tax Experience Required

Intuit


Overview Intuit is seeking Tax Associates for the upcoming tax season. If you have an active PTIN, we would love to connect with you! What You Get: • • Company Benefits: • 401(k) savings plan with Intuit matching, paid sick leave, Intuit provided E&O insurance, employee stock purchase plan, employee...


Travel Radiology Technologist 2,366 per week

LanceSoft


LanceSoft is seeking a travel Radiology Technologist for a travel job in Morristown, New Jersey. & Requirements • Specialty: Radiology Technologist • Discipline: Allied Health Professional • Start Date: 12/09/2024 • Duration: 13 weeks • 40 hours per week • Shift: 8 hours, days • Employment Type:...


Tax Preparer - Fully Remote - 2+Yrs Paid Tax Experience Required

Intuit

  • US - NJ - NJ - Orange

  • November 19, 2024


Overview Intuit is seeking Tax Associates for the upcoming tax season. If you have an active PTIN, we would love to connect with you! What You Get: • • Company Benefits: • 401(k) savings plan with Intuit matching, paid sick leave, Intuit provided E&O insurance, employee stock purchase plan, employee...


Home Health Physical Therapist 115K+ per year

LHC Group


LHC Group is seeking a Home Health Physical Therapist for a job in Northfield, New Jersey. & Requirements • Specialty: Physical Therapist • Discipline: Therapy • Duration: Ongoing • Employment Type: Staff *Please note that the salary will be commensurate with experience. Summary The Physical...


Tax Preparer - Fully Remote - 2+Yrs Paid Tax Experience Required

Intuit


Overview Intuit is seeking Tax Associates for the upcoming tax season. If you have an active PTIN, we would love to connect with you! What You Get: • • Company Benefits: • 401(k) savings plan with Intuit matching, paid sick leave, Intuit provided E&O insurance, employee stock purchase plan, employee...


Travel Nurse RN - Telemetry 2,409 per week

Hackensack Meridian Health 65 James Street

  • US - NJ - NJ - Edison

  • November 19, 2024


Certification Details • BLS - Basic Life Support • State licensure - Registered Nurse (RN) - specific to New Jersey Job Details • The Registered Nurse is responsible for evaluating patients and assisting physicians with patient care. • Plans, implements, and documents nursing care based on patient's...


Tax Preparer - Fully Remote - 2+Yrs Paid Tax Experience Required

Intuit


Overview Intuit is seeking Tax Associates for the upcoming tax season. If you have an active PTIN, we would love to connect with you! What You Get: • • Company Benefits: • 401(k) savings plan with Intuit matching, paid sick leave, Intuit provided E&O insurance, employee stock purchase plan, employee...


Travel Skilled Nursing Facility Physical Therapy Assistant 1,475 per week

Trinity Staffing Group

  • US - NJ - NJ - Amboy

  • November 19, 2024


Trinity Staffing Group is seeking a travel Skilled Nursing Facility Physical Therapy Assistant for a travel job in Amboy, New Jersey. & Requirements • Specialty: Physical Therapy Assistant • Discipline: Therapy • Start Date: 12/08/2024 • Duration: 13 weeks • 40 hours per week • Shift: 8 hours, days...


Registered Nurse RN - Ambulatory Surgery 40-61 per hour

ChristianaCare


ChristianaCare is seeking a Registered Nurse (RN) Ambulatory Surgery for a nursing job in Deepwater, New Jersey. & Requirements • Specialty: Ambulatory Surgery • Discipline: RN • Duration: Ongoing • Employment Type: Staff About ChristianaCare: ChristianaCare was recognized as one of "America's 100...


Tax Preparer - Fully Remote - 2+Yrs Paid Tax Experience Required

Intuit

  • US - NJ - NJ - Rahway

  • November 19, 2024


Overview Intuit is seeking Tax Associates for the upcoming tax season. If you have an active PTIN, we would love to connect with you! What You Get: • • Company Benefits: • 401(k) savings plan with Intuit matching, paid sick leave, Intuit provided E&O insurance, employee stock purchase plan, employee...


Travel Registered Respiratory Therapist 2,182 per week

LanceSoft

  • US - NJ - NJ - Summit

  • November 19, 2024


LanceSoft is seeking a travel Registered Respiratory Therapist for a travel job in Summit, New Jersey. & Requirements • Specialty: Registered Respiratory Therapist • Discipline: Allied Health Professional • Start Date: 12/09/2024 • Duration: 13 weeks • 36 hours per week • Shift: 12 hours, days •...