Job Description

Focuses on providing technical expertise across multiple disciplines. Recognized internally as “the go-to person” for the most complex Clinical Program Management assignments. Represents company externally and serves as conduit to educate and enable care coordination between stakeholders resulting in an optimal healthcare experience and customer satisfaction. Serves as clinical advisor to the sales organization, providing ongoing product and industry knowledge/education that positively influence cost, quality and customer satisfaction.

Essential Functions

Act as a subject matter expert (SME) in areas relevant to the teamLeads, coaches, and develops by providing mentorship to members within the teamActs as a strategic business partner to various stakeholders both internal/externalLead and execute large strategic projects designed to enhance operating effectiveness and drive overall changeIdentify business improvement opportunities using data, feedback, and analysisExecute and deliver processes with a forward thinking ability to present solutions and identify efficienciesParticipates and contributes in formal and informal training programs and professional development activities which may include taking, developing, and/or conducting sessionsServe as business owner to necessary client work that involve operational and implementation benefits changesUnderstand client's existing clinical benefit and business philosophy to help avoid unnecessary clarificationsAccurately capture and document clinical benefit requirements in collaboration with business stakeholdersProvide excellent customer service and act as a trusted client advisorWork with internal partners to ensure all implications of requested clinical benefit requirements are vetted, understood and communicated as necessaryConsult with team members, SMEs and specialized teams as necessary, Client Benefit Administrators (CBA), Clinical Application Teams (DCRS, FRS, CRS, Criteria), Account Teams, Product OwnersManages and tracks all requests to ensure timelines are metDevelop a deep understanding of claims adjudication system and associated clinical applicationsLeads the development, preparation, and presentation of project plan including execution and delivery for each client(s) assigned

 Skills

Ability to multi task and communicate effectivelyMicrosoft office with a strong understanding of Excel and AccessWritten and verbal communication (listening, feedback; translating complex ideas/processes), collaboration, analytical thinking/critical thinking, results-oriented and organizational skillsMust have the ability to work on multiple tasks, prioritize, resolve complex issues, and have strong project management skillsAbility to learn multiple internal reporting and analytic tools for client managementProvide project and administrative support to the team and escalate issues, risks, concerns as needed

Education and Qualifications

Current U.S. Pharmacist License, Pharm.D.Proven leadership skills, team-orientation, a proactive management style and strong commitment to client service a mustMinimum of 3 years experience preferred in managed care or with previous PBM experience

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 95,100 - 158,500 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’s why 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) 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 Life at Cigna Group.

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.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.