Job Description
This role requires subject matter expertise in the Medicare Part D program with a focus on eligibility, benefits, compliance, solutions and overall client strategy. The role is responsible for ensuring overall client retention goals are met and client satisfaction with the EGWP Product. The Strategist will also be responsible for various aspects of client implementations and renewals and will provide EGWP subject matter expertise and direction on a variety of questions and issues.
This role works closely with not only the account team and client, but also the product, clinical, client benefit, eligibility, finance, compliance and regulatory teams to understand the client requirements and provide consultative services from implementation through renewal. Management of day-to-day client needs and Medicare service and operations support as well as issue resolution are critical aspects of this role.
ESSENTIAL FUNCTIONS:
- Responsible for overall EGWP client retention for assigned client(s)
- Responsible for the documentation and communication of client specific requirements
- Partner with internal teams to resolve client-specific issues
- Partner with Account teams to discuss strategy and solutions for clients
- Participate in the annual renewal process for all assigned client(s)
- Using appropriate escalation management skills to ensure direct management is kept apprised of client situations
- Responsible for communicating any CMS guidance, product, field and departmental updates to internal teams and clients as applicable
- Participate in overall benefits review and copay grid council
- Complete projects in support of Product Strategy team, lessons learned initiatives, overall preparation and readiness for upcoming plan year as assigned
- Support audit processes as needed
- Oversee daily operations required to support assigned EGWP client(s)
- Lead client consultation related to business strategy and on-going opportunities to optimize product and services.
QUALIFICATIONS:
- Bachelor's degree in related field or equivalent work experience
- 6 or more years of relevant work experience
- Excellent communication skills, including presentations and documentation
- Advanced problem-solving skills with the ability to work cross-functionally to resolve issues and generate results among potentially conflicting constituencies
- Data analysis and reporting skills; Basic financial analysis skills
- Demonstrated ability to prioritize and manage workload and meet project deadlines
- Ability to work towards specific deliverables within a environment of tight deadlines and significant pressure
- Ability to handle complex analysis from issue identification to proposal of potential solutions
- Knowledge of PBM or Healthcare industry preferred
- Excellent customer service skills required
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 98,100 - 163,500 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: 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.
Job Tags
Holiday work, Permanent employment, Work experience placement, Local area,