Job Description

The Director, Provider Contracting & Strategy is primarily responsible for negotiating, developing and executing strategies for effective management of the contract function for network providers. This role will also be responsible for strategic and operational support of our network product team, including collaborating on the development, creation and maintenance of network products. The position will act as an escalation point for a set of network providers for all relationship issues and will work cross-functionally with leaders in Finance, Legal, Retail Network Operations and Sales & Account Management areas.

This position is responsible for effective core service delivery to internal business partners/teams. The position must ensure deliverables are accurate, of high-quality, and operational excellence is achieved.

Essential Functions

Management of strategic pharmacy relations, negotiations, contracting, initiatives, and strategies regarding the chain and independent pharmacy communities through relationships with independent pharmacies, pharmacy services administrative organizations (PSAOS) and chain pharmacy providers.

Act as an escalation point for all issues impacting a subset of network providers.

Lead and support the development and implementation of initiatives to achieve goals. Gain organizational support for strategy and implementation of strategic retail initiatives.

Collaborate with product teams to develop, execute and manage all network product initiatives.

Provide leadership in the delivery of cross-functional support related to contract development and negotiations to include new products, existing networks and new networks.

Provide strategic direction, leadership, and mentoring of staff. Budgetary responsibility for the team.

Well qualified candidates will possess a combination of the following:

• BA/BS Degree or equivalent experience
• 5+ years relevant experience, including 2+ years management or leadership experience required; PBM, Pharmacy and/or Managed Care experience is preferred
• Effective leadership and budgetary responsibility
• Excellent strategic thinking, conflict resolution and negotiation skills
• Excellent interpersonal skills with the ability to quickly build rapport with individuals at all levels
• Excellent verbal and written communication skills with the ability to make effective presentations to both internal and external leadership
• Detail-oriented with strong organizational skills
• Demonstrated exceptional project management skills with the ability to manage multiple projects and meet tight deadlines
• Ability to work well in a team environment and independently
• Must be adaptable and able to thrive in a fast-paced, changing environment
• Proficient knowledge of Microsoft Office; Power Point; e-mail and spreadsheet software
• * * This is a hybrid role and requires the ability work in person on site 3 days per week. * * *
  
  

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.

Job Tags

Full time, Contract work, Work from home, 3 days per week,

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