Clinical Program Advisor Express Scripts Remote (supply Chain)

USA, United States

Job Description


JOB SUMMARY

The Clinical Program Advisor provides insight and guidance on complex clinical rebate modeling assignments/projects. Exercises considerable creativity, foresight, and judgment in conceiving, planning, and delivering initiatives. Uses clinical professional knowledge and acumen to advise functional leaders and educate other team members. Delivers formulary consulting clinical modeling support, but also works on broader projects, which require understanding on a more global perspective. Recognized internally as a clinical subject matter expert. Represents supply chain department internally and externally serving as conduit to educate downstream formulary consulting stakeholders resulting in an optimal formulary consulting service model. Serves as clinical advisor resource providing ongoing product and industry knowledge/education that positively influence cost, quality and customer satisfaction.

ESSENTIAL FUNCTIONS:

  • Develop and execute formulary modeling for existing clients with strategy guidance from manager and in close partnership with the business partners
  • Ability to performs independent modeling with little to no modeling oversight by Sr. Manager/Clinical Director
  • Identifies and recommends process improvement to streamline formulary consulting modeling
  • Field clinical questions from other formulary consulting team members
  • Review custom health plan Utilization Management policies for rebate eligibility or adherence to contract rebate terms
  • Support standard utilization management review as needed
  • Create client presentations for medium and moderately complex accounts
QUALIFICATIONS:
  • Bachelor\xe2\x80\x99s degree in Pharmacy, Pharm.D. preferred, with current active U.S. Pharmacist License
  • 2-4 years of pharmacy/ PBM/ Managed Care/healthcare related experience
  • 1-2 years of formulary management/development experience preferred
  • Detail Oriented Organizational, and Analytical skills
  • Excellent PC skills \xe2\x80\x93 including Excel, PowerPoint and MS Access, experience with database
  • Financial or analytical modeling experience
  • Familiarity with pharmaceutical rebate contracts a plus
  • Proven ability to work in a fast paced \xe2\x80\x93 ever changing environment
  • Excellent relationship building and cross functional skills
  • Ability to travel approximately 10%.
ABOUT THE DEPARTMENT

Supply Chain - Pharma Strategy & Contracting combines the coordination and management of the company\xe2\x80\x99s key supplier groups under a single management team. Major suppliers include brand and generic pharmaceutical manufacturers, retail pharmacies and drug wholesalers.

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 86,600 - 144,400 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.

We want you to be healthy, balanced, and feel secure. That\xe2\x80\x99s why you\xe2\x80\x99ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you\xe2\x80\x99ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, 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, visit .

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 require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

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.

Cigna

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Job Detail

  • Job Id
    JD4295508
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    $86600 - 144400 per year
  • Employment Status
    Permanent
  • Job Location
    USA, United States
  • Education
    Not mentioned