Clinical Program AdvisorProgram Management Advisor Express Scripts Hybrid (Supply ChainFormulary Consulting)

This is a Hybrid position (3 days per week in-office 2 days work at home). The incumbent candidate can be based out of any US Cigna Healthcare office and is not restricted to locations that are listed in this posting.

JOB 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 companys 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 nations 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:

• Bachelors degree in Pharmacy Pharm.D. or Bachelors 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%.

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. Thats why youll enjoy a comprehensive range of benefits with a focus on supporting your whole health. Starting on day one of your employment youll 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 The Cigna Group

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: for support. Do not email 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.