Clinical Program Advisor - Express Scripts - Remote (Configuration Product Support)

Cigna Healthcare; United States; Remote; USD 96,000 - 159,000; Full time

Benefits offered by this job

Annual bonus plan

Comprehensive benefits

Paid time off

Job summary

The Cigna Group is seeking a Clinical Program Advisor to lead clinical and benefit design for new and existing product launches and guide Product owners and PBS partners on implementation across EverNorth. The role requires strategic thinking for enrollment cycles and strong coordination with cross-functional teams to ensure system updates align with clinical intents.

It includes responsibility for post go-live monitoring, go-live documentation across multiple teams, and presenting to

Qualifications

• Excellent verbal and written communication skills.
• Ability to work with cross functional committees or workgroups.
• Able to manage multiple tasks and prioritization.
• Able to function under stressful situations.

Responsibilities

• Guide Product owners and PBS partners on clinical and benefit design for new and existing launches.
• Manage product strategy and execution for bulk and maintenance enrollments.
• Coordinate with downstream teams to implement clinical and benefit set up changes.
• Assess clinical and benefit downstream impacts and ensure all connections are addressed.

Skills

Verbal and written communication

Cross-functional collaboration

Prioritization

Leadership

Presentation skills

Pressure management

Education

Doctor of Pharmacy Degree

Bachelor of Science in Pharmacy

Job description

JOB DESCRIPTION

The Clinical Program Advisor needs to have in-depth knowledge of clinical set up, familiarity with benefit setup, and overall operational interdependencies and regulatory requirements. Primary responsibilities include product management and guiding Product owners as well as downstream PBS partners on the clinical and benefit design of new and existing product launches. Strategy and execution for bulk and maintenance phase product enrollments along with strong communication and presentation skills are required. This position will be supporting new EverNorth product implementation. This position will work with Product team directly to ensure all clinical and benefit intent is captured and then coordinate with the appropriate downstream teams in order to make the necessary system updates. This person will also assess all clinical and benefit downstream impacts and confirm all connections from set up standpoint are addressed. This person will also need to have appropriate post go-live monitoring in place to quickly address any issues might come up and document go-live procedures across multiple teams within Client Services Operations.

QUALIFICATIONS

• o Doctor of Pharmacy Degree (highly preferred) or Bachelor of Science in Pharmacy.
• o Advanced clinical experience/training/certifications also preferred.
• o Current US Pharmacist Licensure.
• o Excellent verbal and written communication skills required.
• o Must have strong commitment to clinical services and company goals.
• o Ability to work with cross functional committees or workgroups.
• o Able to manage multiple tasks and prioritization.
• o Able to function under stressful situations.
• o Clinical expertise and understanding of clinical arena/issues across all points of pharmaceutical care.
• o Able to present to leadership and lead discussions.
• o Operations support, Workflow support, Problem Solving, Interface/Presence with Leadership, Critical & Strategic.
• o Thinking, Cross Functional Skills, Organizational Collaboration, Forward Thinking.

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, paid holidays, and leaves of absence. 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 need a reasonable accommodation to complete the online application process, please email [e-mail] for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

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.