United States onlyJOB SUMMARY
The Clinical Program Advisor/Program Management Advisor provides insight and guidance on complex clinical rebate modeling assignments/projects and provide financial rebate modeling support to assigned clients. 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.
ABOUT THE DEPARTMENT
Supply Chain - Pharma Strategy & Contracting combines the coordination and management of the company’s key supplier groups under a single management team. Major suppliers include brand and generic pharmaceutical manufacturers, retail pharmacies and drug wholesalers.
Express Scripts by Evernorth, a leading pharmacy benefit manager with the nation's largest mail order-pharmacy operations, assists its customers to moderate the cost and enhance the quality of prescription drug benefits provided to members nationwide.
ESSENTIAL FUNCTIONS:
Develop and execute formulary modeling for existing clients with close attention to detail and accuracy
Review custom Utilization Management policies for rebate eligibility or adherence to contract rebate terms
Analyze the financial impact of client requested formulary changes to both the client and Express Scripts
Ability to perform 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
Develop and execute formulary modeling opportunities for existing clients with strategy guidance from manager and in close partnership with business partners
Support standard utilization management review as needed
Create client presentations and present to senior leaders within client as required
QUALIFICATIONS:
Bachelor’s degree in Pharmacy, Pharm.D. or Bachelor's degree, Finance or related area/MBA a plus
2+ years of pharmacy/ PBM/ Managed Care/healthcare related experience
1+ years of formulary management/development experience preferred
Detail Oriented, Organizational, and Analytical skills
Ability to work independently and execute on deliverables in a timely manner and with little oversight
Excellent PC skills – 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 – ever changing environment
Excellent relationship building and cross functional skills
Ability to travel approximately 10%.
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 95,500 - 159,100 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 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 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.
