Senior Payor Account Advisor- Evernorth
As a key contributor to the payor relations sales team, you will build strong relationships with healthcare partners and expand referral opportunities by increasing network access to pharmacy services. In this role, you will leverage deep functional expertise to collaborate across internal teams and external partners to strengthen relationships, solve complex challenges, and achieve quarterly performance goals.
Responsibilities
Drive payor prospect engagement and cultivate relationships with key decision-makers to expand pharmacy participation and revenue. Provide professional account management leadership and content to drive sales growth and revenue for large accounts. Act as subject matter expert for other team members. Participate in sales meetings, training sessions, and industry conventions to strengthen partnerships with the sales team and support business growth. Prepare and present business reviews to business partners to identify growth opportunities and ensure service level expectations are met. Oversee payor contract negotiations with health plans, PBMs, and managed care organizations to execute competitive pricing strategies that increase sales revenue. Manage enrollment communications with health plans, PBMs, Medicaid, and other payors to support timely participation and operational accuracy. Utilize extensive trade relations experience for pharmacy RFP requests and payor enrollment requirements. Partner with billing and operations teams to resolve reimbursement and contract issues. Maintain confidentiality of all sensitive information and adhere to compliance standards. Support additional duties as assigned to meet departmental and organizational objectives.
Required Qualifications
Minimum of 10 years of account management experience within healthcare, including experience with health plans, PBMs, or Medicaid. Strong understanding of credentialing, enrollment, and regulatory requirements. Excellent organizational and time management skills with ability to meet deadlines. Strong communication skills and ability to collaborate across teams. Proficiency in Microsoft Office, PowerPoint, Excel, and Outlook.
Preferred Qualifications
Associate’s degree in healthcare or related field, or equivalent experience. Experience supporting pharmacy account management or specialty pharmacy operations. 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. This role is also anticipated to be eligible to participate in an incentive compensation plan. At The Cigna Group, 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), 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, click here. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. 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 need a reasonable accommodation to complete the online application process, please email [email protected] for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes. 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. Apply To This Job