Six Figure Work

Senior Manager - Medicaid/Marketplace Client Strategy - Express Scripts - Hybrid

Cigna

Company websitecigna.com (Cigna, opens in new tab)

Base salary $140,300  to $233,800

Employer-published annual base salary, USD. Advertised base range in St. Louis, MO +3 more

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  • LocationSt. Louis, MO +3 more
  • WorkplaceHybrid
  • Status at last checkSource accepting applications when checked
  • Last checked (1 h ago) · observed since
All 4 locations
  • St. Louis, MO
  • Bloomington, MN
  • Morris Plains, NJ
  • Bloomfield, CT

About this job

Senior Manager, Medicaid & Marketplace Client Strategy

Help Shape Strategy in a Changing Healthcare Landscape

Are you passionate about helping clients navigate complexity and drive meaningful results? As the Senior Manager, Medicaid & Marketplace Client Strategy, you will lead a team of healthcare strategists who turn evolving policy, regulatory, quality, affordability, and market developments into actionable business strategies.

In this highly visible leadership role, you will serve as a trusted advisor to health plan and PBM clients, helping executives make informed decisions, anticipate change, and achieve their business goals. This is an opportunity to combine strategic thinking, industry expertise, and people leadership while developing talent and creating lasting client impact.

Responsibilities

Lead Strategic Client Partnerships

  • Serve as a trusted advisor to Medicaid and Marketplace clients, delivering strategic guidance that helps them navigate industry change and achieve business objectives.
  • Translate complex healthcare policy, regulatory, quality, affordability, and market developments into clear recommendations and actionable strategies.
  • Facilitate executive-level discussions that support informed decision making and drive client success.
  • Anticipate emerging trends, opportunities, and risks and proactively advise clients on business implications.

Drive Market Intelligence and Business Insights

  • Monitor and interpret federal and state policy, legislative, and regulatory developments affecting Medicaid, Marketplace, and related healthcare markets.
  • Deliver concise, decision-ready insights that help clients and internal partners respond strategically to industry changes.
  • Contribute to organizational perspectives and recommendations that strengthen client outcomes and market positioning.

Support Client Growth and Organizational Success

  • Partner with Account Management and cross-functional teams to deliver solutions that create measurable value for clients.
  • Strengthen client relationships through strategic consultation, thought leadership, and collaborative problem solving.
  • Represent the organization in client meetings, executive presentations, and industry engagements.

Develop Talent and Build High-Performing Teams

  • Lead, coach, and develop a team of strategists while fostering a culture of accountability, collaboration, innovation, and continuous growth.
  • Strengthen team capabilities in strategic thinking, executive communication, consulting, and problem solving.
  • Create an environment where curiosity, learning, and knowledge sharing are encouraged and rewarded.

Influence Across the Organization

  • Build strong partnerships across business functions to advance strategic priorities.
  • Influence stakeholders and drive alignment in complex and evolving environments.
  • Balance competing priorities while maintaining focus on client and business outcomes.

Qualifications

Required

  • 7+ years of experience in healthcare strategy, healthcare consulting, Medicaid, Marketplace, Medicare, PBM, healthcare policy, regulatory affairs, government affairs, or a related healthcare environment.
  • Experience leading, coaching, and developing teams.
  • Experience working directly with clients, senior leaders, or executive stakeholders.
  • Strong strategic thinking, analytical, and problem-solving skills.
  • Ability to synthesize complex information into clear, actionable recommendations.
  • Excellent verbal, written, and presentation communication skills.
  • Demonstrated ability to influence cross-functional stakeholders and build strong partnerships.
  • Strong business acumen and understanding of healthcare market dynamics.
  • Ability to navigate ambiguity and adapt in a fast-changing environment.
  • Willingness to travel up to 25%.

Preferred

  • Bachelor's degree or advanced degree in a related field.
  • Health plan experience supporting Medicaid, Marketplace, or Medicare lines of business.
  • PBM experience.
  • Healthcare strategy consulting experience.
  • Experience in public policy, legislative affairs, regulatory affairs, or government relations.
  • Experience developing executive-level presentations, recommendations, and strategic business cases.
  • Experience using data, market intelligence, and industry insights to guide strategic 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 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 140,300 - 233,800 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 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 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 [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.

Source: Cigna on Workday · View original posting (opens in new tab)

Pay in context

This role's base floor ($140,300) is above 57% of the 4,125 Business Operations roles nationwide listed on this site; 3 others list the same floor. Their median floor is $135,000; the middle half runs from $117,000 to $160,400.

Only jobs on this site count, and each one publishes a base salary of $100,000 or more, so this compares six-figure jobs with each other, not with the whole market. Computed Nov 8, 2026.

This range next to 6 other live Cigna roles with the nearest advertised base floor
Chart as a table
This range next to 6 other live Cigna roles with the nearest advertised base floor
RolePublished base
Senior Manager - Medicaid/Marketplace Client Strategy - Express Scripts - Hybrid (this listing)$140,300 - $233,800
Principal - Drug Trends & Pipeline Strategy - Evernorth$139,700 - $232,900
Global Clinical Program Strategy Director - Cigna Healthcare - Hybrid$141,500 - $235,900
Investment Actuary - Cigna Investment Management - Hybrid$137,900 - $229,800
Associate Vice President - Ambulatory Infusion - Remote$144,200 - $240,400
Release Train Engineering Senior Manager- Hybrid$135,700 - $226,100
Talent & Performance Strategy Principal - Hybrid$133,600 - $222,600

Same $100K to $400K scale as every card. All Cigna roles · How to read the bar

Observed changes

  1. First observed on the employer's board
  2. Began meeting the published-salary criteria
Observed since
Employer-stated posting date
2026-08-18
Where this pay comes from

Location as the employer wrote it: Multiple locations (4)

For this position, we anticipate offering an annual salary of 140,300 - 233,800 USD / yearly, depending on relevant factors, including experien

Method
Employer text, read with fixed rules and re-verified
Checked
Rule set
us-base-v2

The pay passage appears in the employer's own job text. Fixed, deterministic rules located it, and the passage below was checked against the stored copy of the posting.

What we verified

  • The pay figures come from the employer's own listing, quoted exactly above.
  • The pay is an annual base salary in US dollars with a minimum of at least $100,000.
  • The role was publicly listed on the employer's job board when last checked.

We do not verify what the employer will actually offer, whether the employer is still recruiting for the role, or anything beyond what the employer published. Full methodology.

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