Clinical Program Senior Advisor - Remote - Express Scripts (Academic Detailing)

The Cigna Group; Bloomfield (CT); À distance; USD 116 000 - 194 000; Plein temps

Avantages offerts par ce poste

Medical insurance

Vision insurance

Dental insurance

Well-being programs

401(k)

Life insurance

Tuition reimbursement

PTO 18 days

Paid holidays

Leaves of absence

Résumé du poste

The Cigna Group is seeking a Senior Clinical Consultant in Academic Detailing to support Evernorth's Provider Engagement strategy. The role uses clinical expertise, analytics, and education to improve medication use, quality, safety, and affordability.

Remote opportunity with a salary range and bonus eligibility. You will analyze data, develop targeted detailing strategies, and deliver education through multiple channels while collaborating with clients and internal teams to drive measurable

Qualifications

• Current pharmacist license required; PBM/managed care/health plan/provider engagement experience preferred.
• Strong clinical knowledge and ability to interpret medication therapy, prescribing patterns, utilization trends, quality metrics, and evidence-based guidelines.
• Experience using claims data, reporting tools, dashboards, or analytic platforms to identify opportunities and measure outcomes.
• Client management, consultative communication, or provider-facing education experience preferred.
• Excellent verbal, presentation, and written communication skills; translate clinical/data insights into actionable recommendations.
• Strong project management skills; manage multiple priorities and deadlines.
• Demonstrated collaboration, leadership, accountability, and commitment to continuous improvement.
• Proficiency with Microsoft Office and ability to learn internal reporting/analytic tools.
• Ability to work independently in a remote environment while collaborating with cross-functional teams.

Responsabilités

• Analyze pharmacy claims, medical data, provider prescribing patterns, utilization trends, and client-specific priorities to identify opportunities.
• Develop and execute evidence-based academic detailing strategies with provider-specific intervention plans aligned to guidelines and client objectives.
• Deliver customized prescriber education through channels such as telephonic consultation, direct messaging, and written materials.
• Use Evernorth analytics to improve targeting, monitor outreach, and evaluate impact over time.
• Provide provider-facing recommendations on initiation, continuation, optimization within approved protocols.
• Partner with clients and teams to prioritize initiatives and align outreach topics.
• Maintain accurate documentation of outreach activity and outcomes for reporting.
• Contribute to meetings and initiatives by sharing insights and best practices.
• Support training and mentoring, including education for peers and clients.
• Serve as a clinical resource for provider engagement initiatives.

Connaissances

Clinical knowledge

Data analytics

Client management

Communication

Project management

Collaboration

MS Office

Remote work

Formation

Pharmacist license

Description du poste

POSITION SUMMARY

The Senior Clinical Consultant, Academic Detailing supports Evernorth's Provider Engagement strategy by using clinical expertise, advanced analytics, and evidence-based prescriber education to identify and act on opportunities that improve medication use, quality, safety, and affordability. This role evaluates pharmacy and medical data, provider prescribing patterns, medication regimens, and client priorities to develop targeted, provider-facing academic detailing outreach that supports trend management, reduces waste, and advances measurable clinical and financial outcomes.

LOCATION: REMOTE

ESSENTIAL FUNCTIONS

• Analyze pharmacy claims, medical data, provider prescribing patterns, utilization trends, and client-specific priorities to identify actionable clinical, quality, safety, and financial opportunities.

• Develop, document, and execute evidence-based academic detailing strategies, including patient-specific clinical opportunity identification and provider-specific intervention plans aligned to clinical guidelines, formulary strategy, benefit design, and client objectives.

• Deliver customized prescriber education through provider-facing channels such as telephonic consultation, clinical direct messaging, fax, written materials, grand rounds, or other approved outreach methods to support clinically appropriate, cost-effective medication use.

• Use Evernorth analytic tools and reporting resources to improve targeting, monitor outreach activity, assess prescribing trends, and evaluate clinical and financial impact over time.

• Provide provider-facing recommendations related to initiation, continuation, discontinuation, regimen simplification, dose optimization, formulary alternatives, adherence barriers, and other medication therapy opportunities within approved protocols and clinical guidance.

• Partner with clients, account teams, clinical subject matter experts, and internal stakeholders to prioritize initiatives, align outreach topics, integrate client-specific processes, and support transparent reporting of progress and outcomes.

• Maintain accurate documentation of outreach activity, provider feedback, intervention status, and projected or realized impact to support client reporting, operational continuity, and program improvement.

• Contribute to staff meetings, quality workgroups, client discussions, and departmental initiatives by sharing insights, best practices, outcomes, barriers, and opportunities to improve provider engagement effectiveness.

• Support formal and informal training, mentoring, and professional development activities, including development or delivery of education for peers, providers, clients, or internal partners.

• Serve as a clinical resource for provider engagement initiatives and perform other related responsibilities as needed to support client priorities, departmental goals, and Evernorth's broader clinical strategy.

QUALIFICATIONS

• Current pharmacist license required; relevant PBM, managed care, health plan, provider engagement, or clinical program experience preferred.

• Strong clinical knowledge and ability to interpret medication therapy, prescribing patterns, utilization trends, quality metrics, and evidence-based guidelines.

• Experience using claims data, reporting tools, dashboards, or analytic platforms to identify opportunities, support decision-making, and measure outcomes.

• Client management, consultative communication, or provider-facing education experience preferred.

• Excellent verbal, presentation, and written communication skills, with the ability to translate complex clinical and data insights into clear, actionable recommendations for providers, clients, and internal partners.

• Strong project management skills, including the ability to manage multiple priorities, organize work independently, meet deadlines, and resolve complex issues.

• Demonstrated collaboration, leadership, accountability, and commitment to service excellence, continuous improvement, and measurable outcomes.

• Proficiency with Microsoft Office and ability to learn and effectively use internal reporting, documentation, and analytic tools.

• Ability to work independently in a remote environment while actively collaborating with cross-functional teams and client stakeholders.

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 116,200 - 193,600 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.

About The Cigna Group

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.

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.