Remote, Work from home, United States

Description:

The position requires an experienced actuarial viewpoint in modeling and analysis for a wide variety of items related to the Medicare Part D market. Works collaboratively with cross functional teams and matrix partners to complete analysis requested as part of the Part D bid development process.  Performs detailed actuarial analyses for Medicare Part D business, including, but not limited to: drug expense analyses and projections, trend projections, formulary modeling, network analysis, Medicare Part D bid assumption development, actuarial modeling/analysis, and other ad hoc actuarial analyses as needed.

Responsibilities:

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  Performs financial projections and actuarial analysis for complex assignments including:

  
  
  
  

  • Works closely with others to prepare bid assumptions and run bid pricing models to prepare pricing for Part D bids

  
  

  • Trend Analysis (Internal & Industry comparisons)

  
  

  • Formulary modeling

  
  

  • Network analysis

  
  

  • Impact of Regulatory Changes

  
  
  
  



• Assists in preparing responses to desk review and bid audit questions.




• Assists in other ad hoc analysis, as necessary, requested by business partners.

Minimum Requirements:

• BS in Economics, Mathematics, Actuarial Science, or other related field




• 4+ years of actuarial experience




• Proven capabilities in modeling, forecasting, and predictive analytics




• Strong communication skills; written/verbal proficiency




• Experience in the healthcare industry, health plan or pharmacy benefit management highly preferred

Preferred Background:

• Strong analytical experience



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  Extensive Medicare knowledge, with specific acumen in Part D, including:

  
  
  
  

  • Bid preparation and desk review

  
  

  • CMS compliance

  
  

  • CMS audit requirements

  
  
  
  



• Formulary Modeling Experience




• Network Modeling Experience




• Rebate Modeling Experience




• Trend Analysis Experience




• Ability to expertly utilize SQL and/or SAS for data mining




• Proficiency in Excel

This position is not eligible to be performed in Colorado.

About Cigna

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you’ll enjoy meaningful career experiences that enrich people’s lives. What difference will you make?

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.