Principal, PBM and Prescription Drug Policy

Develops and advances public policy analysis and positioning on PBM and prescription drug policy issues to include affordability, drug pricing, specialty pharmacy, and related policy issues.

ESSENTIAL FUNCTIONS

 

Cigna and its subsidiaries are health services providers with market-leading solutions in affordability, predictability, and simplicity for clients and customers. Reporting to the Senior Counsel, Rapid Response Policy, this Principal-level position supports the development and articulation of Cigna’s public policy positions and proposed solutions for PBM and prescription drug issues. The role works closely with policy, advocacy, legal, clinical, business, analytics, and communications partners to advance practical solutions that improve affordability, access, quality, competition, and patient outcomes. As an individual contributor, the Director plays a key role in advancing enterprise-wide policy positioning, strengthening advocacy effectiveness, and delivering measurable business outcomes.

Issues in the portfolio include: 

• Prescription drug affordability, pricing, transparency, and supply-chain policy

• Pharmacy benefit manager regulation, contracting, compensation, reporting, and oversight

• Retail, mail-order, community, and specialty pharmacy policy, including network access and reimbursement

• Specialty medicines, biosimilars, gene and cell therapies, limited-distribution drugs, and related access and affordability issues

Activities include conducting legislative and regulatory analysis; developing policy recommendations, briefing materials, and comment letters; coordinating subject matter expert input; and supporting stakeholder engagement and enterprise positioning on emerging issues.

The position requires candidates to be able to: 

• Monitor and analyze prescription drug, PBM, pharmacy, and drug-pricing developments across legislative and regulatory environment.

• Translate complex policy proposals into clear business, client, patient, operational, and market implications.

• Develop evidence-based policy recommendations and practical legislative or regulatory solutions in partnership with business, legal, clinical, analytics, and government affairs colleagues.

• Draft policy briefs, white papers, comment letters, issue summaries, executive talking points, presentations, and legislative language.

• Support enterprise positions on PBM transparency and compensation, pharmacy networks and reimbursement, patient affordability, and prescription drug spending.

• Evaluate specialty-pharmacy policy affecting complex medicines, biosimilars, gene and cell therapies, distribution channels, network design, and continuity of care.

• Coordinate timely review of legislation, regulations, guidance, and amendments, synthesizing input from subject matter experts and identifying implementation considerations.

• Work with federal and state advocacy teams to ensure policy positions, messaging, and proposed solutions are accurate, consistent, and actionable.

• Maintain organized issue tracking and contribute to cross-functional workstreams, executive updates, and longer-term government affairs strategy.

QUALIFICATIONS:

• Bachelor’s degree is required; a JD, MBA or Master’s degree in Public Health, Health Policy or Public Administration and/or related work experience preferred.
• The ideal candidate will have a minimum of 7 years of relevant experience in health policy, government affairs, law, regulation, or the PBM, prescription drug sector. Experience may include work with federal or state government, health plans, PBMs, pharmacies, manufacturers, trade associations, consulting organizations, patient or provider groups, or comparable health care settings. 
• The successful candidate will be collaborative, analytical, adaptable, and able to independently manage complex assignments while contributing to broader policy and advocacy strategies.
• Knowledge of prescription drug markets, PBM operations, pharmacy services, drug-pricing policy, and the pharmaceutical supply chain.
•  Ability to interpret legislation, regulations, guidance, and market developments and identify their strategic and operational implications.
• Strong written and oral communication skills, including the ability to explain technical concepts clearly and concisely to varied audiences.
•  Demonstrated experience developing policy analysis, recommendations, advocacy materials, or regulatory comments.
• Strong research, analytical, and project-management skills, with attention to accuracy and detail.
• Ability to collaborate effectively with business, clinical, legal, analytics, communications, and government affairs partners.
• Sound judgment and the ability to prioritize and deliver high-quality work in a fast-moving environmen
• Initiative, flexibility, curiosity, and a strong commitment to affordability, access, and patient-centered policy.
• This role is located in the DC office.

  

 

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.For this position, we anticipate offering an annual salary of 154,200 - 257,000 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, click here.

About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. 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 [email protected] 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.