Actuarial Senior Director - Healthcare PBS Financial Strategy & Economics

Position: 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.

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 10

Mbps download/5

Mbps upload.

For this position, we anticipate offering an annual salary of 180, USD / yearly, depending on relevant factors, including experience and geographic location.

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, .

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.

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