The Cigna Group
Actuary - Medicare Part D - Evernorth - Remote
The Cigna Group, Trenton, Ohio, United States, 45067
Actuary - Medicare Part D - Evernorth - Remote
Join the Cigna Group as an Actuary to support Medicare Part D business for Express Scripts. This role provides external actuarial analytics support in the regulated Medicare market and PBM Healthplan space.
Responsibilities
Co-lead development of actuarial analytics products for Express Scripts Part D plans.
Perform financial analyses of regulatory changes, CMS programs, and other special programs.
Develop actuarial models to project Medicare Part D plan liability and premium impact sensitivities.
Build actuarial models and project management functions to accelerate analytics tool development.
Lead studies to identify gaps in the Medicare Part D prescription drug health market and develop strategies to close them.
Drive strategic discussion to develop analytics roadmap for Part‑D revenue optimization and cost‑reduction strategies for Medicare Part D Health Plans.
Review Medicare Part D Plan bid assumptions and create analytics for Medicare Part D Bids substantiation.
Collaborate with internal business partners and external vendors to determine feasibility and financial ramifications of special programs.
Apply Part D subject matter expertise to facilitate analytics capabilities, measure performance and aid in problem solving, and create actionable insights for technical teams.
Assimilate macro and micro trends, develop benchmarks, gather competitive intelligence to develop market competitive strategies.
Train and educate non‑actuarial internal teams on Medicare Part D market financial and analytics components.
Qualifications
Bachelor’s degree in Actuarial Science, Economics, Statistics, Finance or other quantitative field (strongly preferred).
5+ years of actuarial experience (or 3+ years of consulting experience).
ASA (or near ASA) strongly preferred; FSA preferred.
Part D prescription drug or Part D bid development consulting experience preferred.
Regulated Markets Medicare Part D Experience Pharmacy Benefit Manager (PBM) / Healthcare / pharmaceutical experience preferred.
Track record of managing multiple projects and teams delivering client‑driven growth.
Proven capabilities in modeling, forecasting, and predictive analytics.
Strong communication and presentation skills (written/ verbal proficiency).
Coding skills in SQL, R, SAS, or Python (strongly preferred).
Extensive understanding of US prescription drug supply chain and Medicare Part D knowledge (preferred).
Ability to gather and analyze information, execute a strategy designed to aid in growth of existing business and building new businesses.
Ability to structure ambiguous actuarial and financial analyses, and synthesize and communicate complex analyses in simple data‑driven takeaways to senior leadership teams.
Benefits The role is anticipated to offer an annual salary of $109,400 - $182,300 USD, depending on experience and geographic location. The position is also eligible to participate in an annual bonus plan.
The Cigna Group provides comprehensive health‑related benefits including medical, vision, dental, behavioral health programs, 401(k) with company match, paid time off and paid holidays.
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.
Equal Employment Opportunity Statement Qualified applicants will be considered without regard to race, color, age, disability, sex, pregnancy, 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.
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.
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Responsibilities
Co-lead development of actuarial analytics products for Express Scripts Part D plans.
Perform financial analyses of regulatory changes, CMS programs, and other special programs.
Develop actuarial models to project Medicare Part D plan liability and premium impact sensitivities.
Build actuarial models and project management functions to accelerate analytics tool development.
Lead studies to identify gaps in the Medicare Part D prescription drug health market and develop strategies to close them.
Drive strategic discussion to develop analytics roadmap for Part‑D revenue optimization and cost‑reduction strategies for Medicare Part D Health Plans.
Review Medicare Part D Plan bid assumptions and create analytics for Medicare Part D Bids substantiation.
Collaborate with internal business partners and external vendors to determine feasibility and financial ramifications of special programs.
Apply Part D subject matter expertise to facilitate analytics capabilities, measure performance and aid in problem solving, and create actionable insights for technical teams.
Assimilate macro and micro trends, develop benchmarks, gather competitive intelligence to develop market competitive strategies.
Train and educate non‑actuarial internal teams on Medicare Part D market financial and analytics components.
Qualifications
Bachelor’s degree in Actuarial Science, Economics, Statistics, Finance or other quantitative field (strongly preferred).
5+ years of actuarial experience (or 3+ years of consulting experience).
ASA (or near ASA) strongly preferred; FSA preferred.
Part D prescription drug or Part D bid development consulting experience preferred.
Regulated Markets Medicare Part D Experience Pharmacy Benefit Manager (PBM) / Healthcare / pharmaceutical experience preferred.
Track record of managing multiple projects and teams delivering client‑driven growth.
Proven capabilities in modeling, forecasting, and predictive analytics.
Strong communication and presentation skills (written/ verbal proficiency).
Coding skills in SQL, R, SAS, or Python (strongly preferred).
Extensive understanding of US prescription drug supply chain and Medicare Part D knowledge (preferred).
Ability to gather and analyze information, execute a strategy designed to aid in growth of existing business and building new businesses.
Ability to structure ambiguous actuarial and financial analyses, and synthesize and communicate complex analyses in simple data‑driven takeaways to senior leadership teams.
Benefits The role is anticipated to offer an annual salary of $109,400 - $182,300 USD, depending on experience and geographic location. The position is also eligible to participate in an annual bonus plan.
The Cigna Group provides comprehensive health‑related benefits including medical, vision, dental, behavioral health programs, 401(k) with company match, paid time off and paid holidays.
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.
Equal Employment Opportunity Statement Qualified applicants will be considered without regard to race, color, age, disability, sex, pregnancy, 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.
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.
#J-18808-Ljbffr