Senior Advisor Medicaid and Marketplace Strategy (Healthcare)

Location: Hybrid in St. Louis, Missouri, United States. Occasional or permanent work from home requires cable broadband or fiber internet with at least 10 Mbps download and 5 Mbps upload.

Salary: $126,300–$210,500 USD annually, depending on experience and geographic location. Eligible for an annual bonus plan.

Company

Evernorth Health Services, a division of hirify.global, develops pharmacy, care, and benefit solutions designed to improve health outcomes and increase access to treatment.

What you will do

• Advise Medicaid and Marketplace clients on policy, operations, affordability, performance, and growth strategies.
• Translate federal and state policy changes into actionable recommendations for business decisions.
• Lead or support market assessments, competitive analysis, and trend analysis for client strategy, renewals, and expansion.
• Partner with account management, sales, product, clinical, operations, and government affairs teams to align strategy and execution.
• Shape renewal strategies, expansion plans, and RFP or finalist positioning to support client retention and growth.
• Develop executive-ready presentations and represent client needs in product development and regulated-market planning.

Requirements

• 7+ years of experience in regulated markets, pharmacy benefit management, health plan strategy, consulting, or a related client-facing role.
• Strong knowledge of Medicaid, Marketplace, and government programs, including policy, quality, and operational considerations.
• Ability to interpret complex information and convert it into practical guidance.
• Strong communication and presentation skills with experience engaging senior leaders.
• Proven ability to build relationships and influence decisions in a matrixed environment.
• Strong analytical, problem-solving, organizational, and multitasking skills.

Nice to have

• Bachelor’s degree in business, healthcare administration, public policy, pharmacy, or a related field.
• Advanced degree such as an MBA, MHA, MPH, or PharmD.
• Direct experience with health plan clients on strategy, growth, or performance improvement.
• Familiarity with pharmacy benefit strategy in regulated markets.

Culture & Benefits

• Collaborative, fast-paced environment focused on measurable client and health outcomes.
• Medical, vision, dental, well-being, and behavioral health benefits available from the first day of employment.
• 401(k), company-paid life insurance, tuition reimbursement, paid holidays, and leaves of absence.
• At least 18 days of paid time off per year.
• Tobacco-free workplace policy applies in specified states.