Pharmacy Clinical Advisor - Cigna Healthcare

Cigna; Kuala Lumpur; On-site; MYR 90,000 - 150,000; Full time

Job summary

Cigna Healthcare seeks a Clinical Program Advisor to drive development, implementation, and optimization of international pharmacy programs. You will partner with global teams to deliver affordability improvements, governance, and measurable outcomes.

Responsibilities include identifying high-value interventions, supporting market enablement, and building ROI-driven business cases. This role emphasizes cross-functional collaboration and data-driven decision making across markets.

Qualifications

• Licensed pharmacist licensure in local market is required or eligible.
• Strong understanding of pharmacy utilization management, specialty pharmacy, and drug cost management.
• 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.

Responsibilities

• Support optimization of U.S. pharmacy products and services for international members, including benefit design opportunities and utilization trends.
• Identify high-value pharmacy interventions that support clinical programs and total cost of care initiatives.
• Support Clinical Market Enablement teams by providing pharmacy subject matter expertise for market strategy and affordability opportunities.
• Partner with medical directors, care management, clinical operations, product, network, claims, finance, analytics, and pharmacy vendor teams to execute programs.
• Develop business cases, implementation plans, ROI analyses, KPI frameworks, governance materials for initiatives.
• Support pricing, reimbursement, partner management, and pharmacy cost-containment with TPAs, providers, and PBMs.
• Track savings, clinical outcomes, utilization patterns, and program effectiveness; drive continuous improvement based on data.

Skills

Pharmacy knowledge

Utilization management

Strategic thinking

Stakeholder engagement

Data-driven decisions

Executive communication

Education

Bachelor's or Doctor of Pharmacy degree

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 What You’ll Bring to the Role

• 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 cl