Hybrid Senior Director – CSD Pricing, Membership & Vendor Operations

at The Cigna Group

• Job title: Senior Director – CSD Pricing, Membership & Vendor Operations
• Job type: Full Time
• Experience level: Senior
• Salary: $175,900 - $293,100 per year
• Degree requirement: Bachelor's Degree
• Location requirements: Hybrid, Lake Mary, United States

About the role

• Senior Director responsible for end-to-end pricing execution, membership eligibility, and vendor operations in healthcare distribution. Leading teams in a financial and compliance-sensitive environment.

Responsibilities

• Own operational execution of pricing across CuraScript distribution channels, ensuring accuracy, consistency, and compliance with contracted terms.
• Partner with Commercial, Finance, and Contracting teams to operationalize pricing structures, updates, and amendments.
• Ensure pricing configurations align with membership eligibility, contract logic, and downstream billing and reimbursement workflows.
• Lead controls and validation processes to prevent pricing leakage, margin erosion, or downstream revenue disruption.
• Lead end-to-end vendor chargeback operations, including eligibility validation, submission accuracy, dispute resolution, and recovery timeliness.
• Ensure tight alignment between membership data, pricing eligibility, and chargeback qualification.
• Own operational readiness for audits, compliance reviews, and vendor inquiries related to chargebacks and pricing eligibility.
• Identify and mitigate root causes of chargeback denials, under-recoveries, and process breakdowns.
• Ensure data integrity across upstream and downstream processes, partner with Finance and Technology on reconciliation and controls, and drive continuous improvement to reduce revenue leakage and manual rework.
• Lead and develop Directors, Senior Managers, and high-impact individual contributors.

Requirements

• Bachelor’s degree or equivalent experience.
• 10+ years of progressive leadership experience in Revenue Cycle Management, pricing operations, chargebacks, or pharmacy operations.
• Demonstrated experience leading complex financial workflows with material revenue impact.
• Strong cross-functional leadership skills spanning Operations, Finance, Commercial, and Technology.

Benefits

• medical
• vision
• dental
• well-being and behavioral health programs
• 401(k)
• company paid life insurance
• tuition reimbursement
• a minimum of 18 days of paid time off per year
• paid holidays