Actuarial Senior Director – Cigna Healthcare PBS 3.0 Financial Strategy & Economics

The Senior Director will provide senior financial leadership for PBS 3.0, an enterprise‑level operating model transformation with heightened regulatory complexity and cross‑functional scope. This role is accountable for owning the PBS 3.0 financial strategy and value case, establishing economic guardrails, and enabling executive decision‑making through rigorous pricing, monetization, and profitability analysis.

The Senior Director will partner closely with Finance, Pricing, Underwriting, Product, Legal, Operations, and Technology leaders to ensure PBS 3.0 delivers sustainable value while remaining compliant, audit‑ready, and aligned with enterprise financial objectives.

PBS 3.0 is inclusive of FTC Settlement requirements, CAA reporting requirements, new acquisition cost plus model at pharmacy, new rebate-free model with Pharma, and will support any business needs related to the new PBS model.

Key Responsibilities

• Lead and maintain the PBS 3.0 financial strategy and value case, including ongoing refinement as regulatory, product, and operating model decisions evolve.

• Establish and enforce economic guardrails, ensuring alignment with enterprise profitability targets and compliance requirements.

• Own pricing, monetization, and economics analysis across Cigna Medical and Cigna Pharmacy.

• Partner with Pricing, Underwriting, and FP&A to support funding type‑level analysis and client‑level economics, including go/no‑go and tradeoff decisioning.

• Partner closely with Evernorth to understand upcoming changes, communicate needs of the Cigna business, influence decisions, and ensure alignment between business units

• Ensure necessary operational changes for Pricing, Underwriting, and FP&A are addressed coordinated in support of PBS 3.0

• Translate complex financial analyses into clear executive‑level narratives, recommendations, and decision materials.

• Support executive governance forums, risk escalation, and senior leadership readouts related to PBS 3.0 financial outcomes.

• Provide sustained financial leadership throughout strategy, delivery, and post‑launch performance monitoring.

Qualifications

• Bachelor’s degree required; advanced degree preferred.

• Prior experience in Cigna Pharmacy and Cigna Healthcare strongly preferred

• 10+ years of experience in healthcare finance, pricing, actuarial, or related disciplines.

• Demonstrated expertise in pricing strategy, profitability analysis, and financial modeling.

• Experience operating in highly regulated environments with strong audit readiness expectations.

• Proven ability to influence and partner with senior executives and cross‑functional leaders.

• Strong executive communication and financial storytelling skills.

Additional Information

• Expected assignment duration: 18–24 months, subject to post‑launch operating model decisions.

This role is also anticipated to be eligible to participate in an annual bonus and long term incentive 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, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.

About Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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 seeyourself@thecignagroup.com 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.