Pharma Contracting & Strategy Principal Evernorth Health Services
Saint Louis, MI - USA
Job Summary
The PBS Pharma Contracting & Strategy Principalwill report to the Managing Director Pharma Contracting & Strategy and play a critical role in shaping contracting strategy and leading complex negotiations with pharmaceutical manufacturers. This position serves as a trusted subject matter expert across the pharmaceutical landscape influencing internal and external stakeholders on contracting strategy formulary optimization emerging drug pipelines and evolving manufacturer pricing & access dynamics. Beyond contracting experience the individual will be responsible for serving as the connection point for key category strategies across our internal and external client stakeholders.
This individual is expected to think holistically about deal structure and contractual terms leveraging and connecting manufacturer relationships team knowledge market intelligence and broader market forces to drive predictable competitive net pricing and flexibility for this role you will lead efforts to create holistic strategies by consulting with PBS clients develop strategic initiatives and work crossfunctionally with formulary contracting product drug pipeline strategy and clientfacing teams.
You will own 1-2 large manufacturer relationships including contract negotiations invoicing issues dispute resolution audit questions and consulting on contract setup and execution.
ESSENTIAL FUNCTIONS:
Own and lead complex pharmaceutical manufacturer negotiations including deal strategy contract architecture financial terms performance metrics and multiyear structures
Design and influence contracting strategies that support formulary optimization pipeline readiness competitive positioning and longterm affordability objectives
Serve as a trusted strategic advisor and leader able to bring together information across key pharmaceutical contracts informing decisionmaking across clinical formulary finance product and clientfacing teams
Apply deep understanding of manufacturer behavior portfolio strategy and pipeline evolution to determine negotiation timing positioning and leverage
Leverage market intelligence and manufacturer relationships to anticipate shifts in pricing access and competitive dynamics proactively adjusting contracting strategy as needed
Partner crossfunctionally to ensure contracting strategies align with enterprise objectives client value propositions and downstream operational execution
Support client discussions and internal leadership forums by clearly articulating contracting strategies tradeoffs risks and expected outcomes
Support Contract Specialists in finalizing and managing manufacturer agreements to ensure accurate timely and compliant contract execution
QUALIFICATIONS:
Bachelors degree required; advanced degree (MBA MPH PharmD or similar) preferred
5 years of experience in pharmaceutical negotiations contracting pricing and/or formulary strategy
Deep understanding of the pharmaceutical landscape including manufacturer strategies formulary management considerations supply chain dynamics and emerging drug pipelines
Ability to simplify complex concepts and bring knowledge together to drive innovative solutions
Strong financial acumen with the ability to evaluate deal economics pricing structures and longterm value constructs
Ability to synthesize market intelligence manufacturer behavior and market positioning into clear actionable contracting strategies
Demonstrated experience structuring and negotiating complex agreements including financial terms performance guarantees and multiyear arrangements
Proven ability to influence and persuade internal and external stakeholders while balancing organizational objectives and partner considerations
Strong interpersonal skills with the ability to collaborate effectively across crossfunctional teams and external stakeholders
Exceptional written verbal and executivelevel communication skills including the ability to articulate tradeoffs risks and value propositions to senior leaders and clients
Demonstrated strategic mindset with the ability to balance nearterm negotiation outcomes and longterm enterprise objectives
Adaptable and comfortable navigating complexity ambiguity and evolving market dynamics
Selfstarter with the ability to work independently while contributing effectively within a broader team environment
Relevant experience in PBM payer manufacturer or healthcare consulting environments strongly preferred
Willingness to travel up to 25%
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 need a reasonable accommodation to complete the online application process please email 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.
Required Experience:
Staff IC
About Company
Cigna Healthcare offers health insurance plans such as medical and dental to individuals and employers, international health insurance, and Medicare coverage.