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The Cigna Group Director, Account Management - Medicare & Exchange - Express Scripts - Hybrid in Morris Plains, New Jersey

The Director, Centene Account Management provides strategic, financial, clinical, relationship, and organizational leadership for the Medicare D and Exchange lines of business within the Sales & Account Management Centene division. Role includes the execution of a comprehensive strategic plan to achieve ARx retention, margin & EBIT targets for their respective line of business as well as work cross functionally to ensure all regulatory requirements are met or exceeded. Additional responsibilities include but not limited to employee management, cross-functional coordination of projects and initiatives, exceeding client expectations, budget and work-plan management, and process improvement.

ESSENTIAL FUNCTIONS:

  • Manage profit, revenue and gross margin for client.

  • Develop and carry out strategic work plan goals to include, but not limited to, gross margin, client retention, and renewal and upsell targets.

  • Manage a diverse team of account executives and/or account managers located in multiple sites.

  • Work collaboratively with management team to provide career development opportunities, work direction, evaluate performance and provide feedback to promote employee growth, retention, productivity, and engagement.

  • Partner with Sales & Account Management Operations and serve as escalation point to ensure smooth on-going delivery of all service deliverables as well as successful implementation of new accounts, solutions, initiatives, and policies.

  • Ensure close coordination with cross-functional areas; such as Product, Sales & Account Management Operations, Technology, Legal, Finance, and Compliance to ensure successful program maintenance and expansion, maintain compliance with Federal and state-specific regulations, effective service delivery, meeting of SLAS, key metrics, and client performance guarantees.

  • Identify gaps and lead special projects focused on improving operational effectiveness and implementing best practices within the division.

  • Act as a consultant in ongoing client relationships to ensure retention targets are met.

  • Assist in negotiating client contracts, amendments, and SOW’s as needed.

  • Oversees resolution and successful execution of client issues.

  • Participate in sales presentations to prospective clients.

  • Leads and participate in QBR’s with existing clients.

IDEAL CANDIDATES WILL HAVE A COMBINATION OF THE FOLLOWING:

  • Bachelor’s degree required. MBA, Pharm D and/or Master's degree preferred.

  • At least 7 years relevant work experience with at least 4 years of experience in account management.

  • Extensive client management experience within the PBM or healthcare industry preferred; Experience in Medicare/Medicaid/Exchange market highly preferred.

  • Experience managing large books of business and/or processes.

  • Preferred experience with Rebate/Network Contracting, all aspects of pricing, client contracting and client level budgeting.

  • Experience with client negotiations required.

  • Proven success from both a leadership and BOB / client management standpoint.

  • Ability to organize highly flexible / leveraged team and develop / implement supporting processes in a fashion that drives efficiency, responsiveness, and standardization in an environment where clients expect customization and dedicated teams.

  • Solid understanding of PBM market dynamics and industry regulations/initiatives.

  • Strong leadership experience; including proven ability to lead teams in meeting client retention goals and growing, developing and retaining critical resources.

  • Ability to affect organizational change to support client retention and growth.

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.

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