Senior Manager - Medicaid/Marketplace Client Strategy - Express Scripts - Hybrid
Cigna
- Location
- St Louis, MO
- Work model
- Hybrid
- Level
- Senior
- Posted
- Aug 18, 2026
About this role
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,