Pharmacy Clinical Advisor - Cigna Healthcare

Cigna Health and Life Insurance Company; Kuala Lumpur; Hybrid; MYR 490,000 - 735,000; Full time

Benefits offered by this job

Competitive salary

Multicultural and hybrid working环境

Private Medical Insurance

Employee Wellbeing Benefits

Educational Development Program

Job summary

Cigna Healthcare seeks a Clinical Program Advisor to develop, implement, and optimize international pharmacy programs under the Head of Global Pharmacy. You’ll translate strategy into scalable programs and governance across clinical, product, operations, market enablement, finance, analytics, and external partners.

The role focuses on affordability, governance, and measurable outcomes, collaborating with cross-functional teams to protect savings and improve clinical results within international

Qualifications

• Licensed pharmacist with a pharmacy degree and licensure.
• Strong understanding of utilization management and specialty pharmacy.
• Experience designing pharmacy benefits and managing medication costs.
• Data-driven decision making with ability to interpret trends.

Responsibilities

• Support optimization of U.S. pharmacy products and services for international members, including design opportunities and affordability levers.
• Identify high-value pharmacy interventions supporting clinical programs and total cost of care initiatives.
• Provide pharmacy SME support for market strategy, product implementation, and affordability opportunities.
• Collaborate with medical directors, care management, product, finance, analytics, and external partners to run programs.
• Develop business cases, ROI analyses, KPI frameworks, and governance materials for initiatives.
• Assist with pricing, reimbursement, partner management, and cost-containment opportunities with TPAs and providers.
• Track savings, clinical outcomes, and program performance; propose improvements based on data.

Skills

Utilization management

Specialty pharmacy

Benefit design

Cost management

Claims trends

Clinical program development

Education

Bachelor’s or Doctor of Pharmacy degree

Licensed Pharmacist or eligibility for licensure

Job description

About Cigna Healthcare

Cigna Healthcare is a global health service company dedicated to transforming healthcare. With roots in the U.S. and operations in over 30 countries, we serve more than 180 million customers and patients worldwide. Ranked 13th on the Fortune 500 in 2025, Cigna is recognized as one of the most trusted and influential names in the industry. Our mission is to improve the health, well-being, and peace of mind of those we serve. Join our globally recognized brand, where trust, communication, and a positive culture are at the core of everything we do. Our leadership is consistent, approachable, and supportive-ensuring your well-being and work-life balance. We're looking for individuals who thrive in collaborative environments, are passionate about meaningful change, and want to grow in a company that puts people first. At Cigna, you'll be part of a purpose-driven team that values innovation, compassion, and impact. Whether you're shaping better care experiences or supporting customers through life's key moments, your work will matter. Grow with us—and help shape the future of healthcare.

About the Role

The Clinical Program Advisor supports the development, implementation, and optimization of pharmacy programs across Cigna International Health. This role serves as a strategic and operational partner to the Head of Global Pharmacy, advancing affordability, strengthening pharmacy governance, optimizing pharmacy product performance, and improving clinical outcomes. The advisor provides dedicated support for U.S. pharmacy product optimization, pharmacy utilization management triggers and drug lists, high-value pharmacy interventions that support clinical programs, and Clinical Market Enablement activities. The Clinical Program Advisor will help translate pharmacy strategy into scalable programs, governance routines, and measurable affordability outcomes. This role will partner across clinical, product, operations, market enablement, finance, analytics, and external partner teams to identify opportunities, implement pharmacy interventions, and strengthen pharmacy decision-making across international markets. This role functions as a force multiplier for the pharmacy organization by providing dedicated governance, program execution, and market enablement support. The position helps protect savings realization and strengthens pharmacy affordability initiatives.

You'll Be Responsible For:

• Support optimization of U.S. pharmacy products and services for international members, including benefit design opportunities, pharmacy utilization trends, specialty medication performance, affordability levers, and member/provider experience improvements.
• Identify high-value pharmacy interventions that support clinical programs, population health priorities, specialty medication management, medication adherence, site-of-care optimization, and total cost of care initiatives.
• Support Clinical Market Enablement teams by providing pharmacy subject matter expertise for market strategy, product implementation, local medication trends, provider/TPA considerations, and market-specific affordability opportunities.
• Partner with medical directors, care management, clinical operations, product, network, claims, finance, analytics, and pharmacy vendor teams to execute pharmacy programs and resolve cross-functional barriers.
• Develop business cases, implementation plans, ROI analyses, KPI frameworks, executive updates, and governance materials for pharmacy initiatives.
• Support pricing, reimbursement, partner management, and pharmacy cost-containment opportunities with TPAs, providers, pharmacy benefit managers, and other external partners.
• Track pharmacy savings, clinical outcomes, operational performance, utilization patterns, and program effectiveness; recommend continuous improvement actions based on data and stakeholder feedback.
• Coordinate governance forums, working groups, and leadership updates to ensure pharmacy initiatives remain on track, measurable, and aligned to business priorities.

Qualifications

• Licensed Pharmacist or eligibility for pharmacist licensure in local market; Bachelor’s or Doctor of Pharmacy degree required.
• Strong understanding of pharmacy utilization management, specialty pharmacy, pharmacy benefit design, medication cost management, pharmacy claims trends, and clinical program development.
• Strategic and analytical thinking with cross-functional program management capability.
• Strong stakeholder engagement skills with the ability to translate clinical pharmacy expertise into operational and financial value.
• Ability to develop business cases, KPI frameworks, governance materials, ROI analyses, and executive-level updates.
• Strong written and verbal executive communication skills.
• Data-driven decision-making skills and ability to interpret clinical, operational, financial, and utilization trends.
• Ability to work effectively across clinical, product, operations, market enablement, finance, analytics, and external partner teams.

Valued Extras

• International healthcare or pharmacy program experience.
• Pharmacy benefit management or health plan pharmacy operations experience.
• Specialty medication management, population health, affordability initiatives, project management, or change management experience.
• Experience supporting Clinical Market Enablement, pharmacy vendor governance, or cross-market affordability initiatives.
• Experience preparing senior leadership materials, financial impact summaries, and measurable program performance updates.

Competencies & Skills

• Strategic Mindset: Anticipates future trends and implications accurately; creates competitive and breakthrough strategies.
• Manages Complexity: Makes sense of complex, high-volume, and sometimes contradictory information to solve problems.
• Drives Results Consistently: achieves results, even under tough circumstances.
• Collaborates: Builds partnerships and works collaboratively with others to meet shared objectives.
• Communicates Effectively: Develops and delivers multi-mode communications that convey a clear understanding of the unique needs of different audiences.

Why You'll Love Working here

• Competitive salary
• Multicultural and hybrid working environment
• Private Medical Insurance
• Employee Wellbeing Benefits
• Educational Development Program

About The Cigna Group

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.