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How much do express scripts jobs pay per year?

As of May 30, 2026, the average yearly pay for express scripts in Missouri is $71,179.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,700.00 and $78,300.00 per year, depending on experience, location, and employer.

What is an Express Scripts job?

An Express Scripts job typically involves roles in pharmacy services, healthcare operations, customer support, and technology to facilitate prescription processing and medication management. Employees may work in customer service, pharmacy technician roles, or corporate positions supporting healthcare programs. Express Scripts, a subsidiary of Cigna, focuses on pharmacy benefit management (PBM) services to improve medication access and affordability. Jobs at Express Scripts often require strong attention to detail, problem-solving skills, and a commitment to patient care.

What are the key skills and qualifications needed to thrive in the Express Scripts position, and why are they important?

To thrive in a role at Express Scripts, you need a background in pharmacy, healthcare administration, or pharmaceutical services, often backed by licensure or relevant certifications. Familiarity with pharmacy benefit management (PBM) systems, claims processing software, and knowledge of HIPAA regulations is vital. Attention to detail, strong communication, and problem-solving skills help you excel in a collaborative and fast-paced environment. These qualities are essential for ensuring accuracy, compliance, and excellent service to clients and patients in the pharmaceutical industry.

What are some typical challenges employees face in Express Scripts roles, and how can new hires best prepare for them?

Many Express Scripts positions involve managing high volumes of prescription data and navigating complex benefit structures, which can be challenging when balancing accuracy with efficiency. New hires may also need to quickly learn specialized software and healthcare regulations in order to stay compliant and provide quality service to members and clients. The work often involves collaborating with pharmacists, healthcare providers, and insurance carriers, requiring clear and proactive communication. Preparing by developing strong organizational habits, getting comfortable with technology, and staying up-to-date on industry trends will help ensure a smooth transition and long-term success in the role.
More about Express Scripts jobs
What are the most commonly searched types of Express Scripts jobs in Missouri? The most popular types of Express Scripts jobs in Missouri are:
What are popular job titles related to Express Scripts jobs in Missouri? For Express Scripts jobs in Missouri, the most frequently searched job titles are:
What job categories do people searching Express Scripts jobs in Missouri look for? The top searched job categories for Express Scripts jobs in Missouri are:
What cities in Missouri are hiring for Express Scripts jobs? Cities in Missouri with the most Express Scripts job openings:
Express Scripts jobs near you
Infographic showing various Express Scripts job openings in Missouri as of May 2026, with employment types broken down into 61% Full Time, 31% Part Time, 1% Temporary, and 7% Contract. Highlights an 83% Physical, 4% Hybrid, and 13% Remote job distribution, with an average salary of $71,179 per year, or $34.2 per hour.
Managing Director, Pharma Sales & Business Development

Managing Director, Pharma Sales & Business Development

Cigna

Saint Louis, MO • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 17 days ago

Cigna Healthcare rating

8.3

Company rating: 8.3 out of 10

Based on 215 frontline employees who took The Breakroom Quiz

31st of 864 rated healthcare providers

Job description

The Managing Director, Pharma Sales & Business Development is a senior, highly influential leadership role responsible for driving growth, value creation, and strategic partnerships across the Evernorth Specialty Pharma portfolio. This role leads sales, business development, and manufacturer contracting strategy, with a primary focus on expanding access to therapies, optimizing limited distribution networks, and delivering sustained profitable growth for Evernorth Specialty businesses.
This position serves as a key external-facing leader with pharmaceutical manufacturers and an internal strategic partner across Product, Operations, Specialty Procurement, and Commercial teams. The Managing Director is accountable for defining and executing sales and business development strategies that advance Evernorth Specialty's short- and long-term objectives
Key Responsibilities
Strategy, Sales & Business Development
  • Lead the development and execution of Evernorth Specialty Pharma sales and business development strategy, aligned to enterprise growth and value-creation goals.
  • Own manufacturer-facing growth initiatives, including new business opportunities, therapy launches, limited distribution network (LDN) strategies, and data solution sales to Pharma.
  • Partner to design and execute strategies that expand access to new and emerging therapies.
  • Identify, evaluate, and pursue new Pharma partnerships that drive revenue growth and strengthen Evernorth Specialty's competitive position.
  • Serve as a senior thought partner in enterprise strategic planning, providing insight that materially influences short- and long-term business direction.

Contracting & Manufacturer Relationships
  • Lead pharmaceutical manufacturer contracting strategy, including negotiation of complex agreements supporting sales growth, access, and profitability.
  • Oversee contract development, renewal strategy, and renegotiations as needed to support evolving business priorities.
  • Act as the primary escalation point for Pharma manufacturers on strategic, contractual, and growth-related matters.
  • Represent Evernorth Specialty externally as a recognized industry leader and trusted partner within the specialty pharmacy, distribution, wholesale and Pharma community.

Enterprise Leadership & Collaboration
  • Support all Evernorth Specialty businesses, including but not limited to Accredo, CuraScript Specialty Distribution, Evernorth Wholesale, Freedom Fertility, and Express Scripts Specialty Distribution Services.
  • Collaborate closely with Specialty Product, Specialty Operations, Finance, Legal, and Procurement to ensure sales strategies are operationally executable and financially sound.
  • Anticipate market, regulatory, and industry trends impacting Pharma relationships and recommend strategic, process, or product improvements.
  • Solve complex, ambiguous problems with enterprise-wide impact, exercising strong judgment and decision-making authority.

People & Financial Leadership
  • Lead, mentor, and develop high-performing sales, business development and contracting teams with a strong focus on execution and outcomes.
  • Foster a culture of agility, accountability, and continuous improvement.
  • Manage the budget for Business Development and Contracting functions, ensuring disciplined investment aligned to growth priorities.

Qualifications
Education & Experience
  • Bachelor's degree or equivalent work experience required; MBA or PharmD strongly preferred.
  • 10+ years of relevant experience with a Bachelor's degree, or 8+ years with a Master's degree.

Core Competencies
  • Deep knowledge of Specialty Pharmacy, Distribution, Pharma, and PBM industries.
  • Demonstrated success leading sales, business development, and manufacturer contracting at a senior level.
  • Proven ability to negotiate complex, high-value contracts with integrity and strong financial acumen.
  • Recognized industry expert with the credibility to engage Pharma executives with 20+ years of experience.
  • Strong strategic thinking paired with a results-driven, bottom-line orientation.
  • Exceptional communication, presentation, and executive presence.
  • Advanced analytical, problem-solving, and critical-thinking skills.
  • Experience leading cross-functional initiatives and developing senior-level talent.
  • Ability to operate effectively in a fast-paced, dynamic environment and make independent, high-impact decisions.

Additional Requirements
  • Strong project management and organizational skills.
  • Proficiency in Microsoft Word, Excel, and PowerPoint.
  • Ability to assess financial, product, and program metrics to inform decision-making.
  • Willingness to travel approximately 50%.

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 222,700 - 371,100 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 and paid holidays. 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 seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
Cigna 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.

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