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Express Scripts Pharmacy Benefit Services is seeking a Clinical Program Advisor with deep knowledge of clinical setup, benefit design, and regulatory requirements to guide product launches and work with PBS partners on clinical intent.
You will coordinate with product teams to capture requirements and drive system updates across downstream teams, ensuring sound go-live procedures and post-launch monitoring.
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.
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.
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.
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 seeyourself@thecignagroup.com 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.