Managed Care Resident - Express Scripts - Remote (Physician Engagement)

Cigna in; Bloomfield (CT); Remote; USD 80,000 - 100,000; Full time

Job summary

A leading healthcare organization is seeking a Managed Care Resident to participate in a 12-month training program focusing on Physician Engagement. This role offers the chance to gain managed care proficiency through rotations while delivering clinical support. Candidates should be in their 4th year or hold a PharmD and have a strong interest in Managed Care pharmacy. This is a remote position offering competitive benefits.

Benefits

Comprehensive health benefits

401(k) with company match

Tuition reimbursement

Paid time off and holidays

Qualifications

• 4th year or PharmD degree from an ACPE-accredited college or school of pharmacy.
• Pharmacy Licensure in any US State within 90 days of residency start.
• Proficiency in Microsoft Office.

Responsibilities

• Recommend medications based upon established protocols.
• Utilize data analytics to monitor providers' prescribing patterns.
• Provide clinical support for research and development efforts.
• Participate in staff meetings to share best practices.

Skills

Proficiency in Microsoft Excel

Proficiency in written communications

Proficiency in verbal communications

Strong interest in Managed Care pharmacy

Education

PharmD degree from an ACPE-accredited college

Job description

Managed Care Resident - Express Scripts - Remote (Physician Engagement) (Finance)

POSITION SUMMARY

The Pharmacy Graduate will participate in a 12-month post-PharmD training program with a primary focus on Physician Engagement, including but not limited to the use of digital applications, data, and insights to enable informed provider decisions. The Physician Engagement Pharmacy Resident will gain managed care proficiency through in-depth longitudinal rotations and enterprise-wide exploratory rotations, while delivering clinical support to the Provider Engagement, Data and Analytics, and Physician Innovation teams.

LOCATION: VIRTUAL

RESPONSIBILITIES

• Recommend medications, including initiation, continuation, discontinuation, and alternative therapies based upon established protocols.
• Utilize Express Scripts\' multiple data analytics programs and tools to monitor and analyze trends in providers\' prescribing patterns. Collaborates with client, client\'s Express Scripts\' account team and others to optimize opportunities to inform and influence providers. The goal is to improve clinical and financial outcomes and support trend management including appropriate promotion of generic and formulary prescribing toward client and Express Scripts\' strategic goals.
• Provide clinical support for Physician Innovation teams\' research and development efforts, predictive capabilities, and reporting and outcomes processes.
• Activities and discussions to gain knowledge of Pharmacy Benefit Management (PBM) services, including claims processing, coverage reviews, pharmacy networks, formulary management, and client management.
• Effectively participate in and contribute to staff meetings, committees and departmental work groups to share best practices, improve processes and/or other items relating to provider engagement.
• Provide patient and health care professional education and medication information.
• Design and present education and/or training activities via newsletter publications, clinical journal clubs, and department in-service opportunities.

MINIMUM REQUIREMENTS

• 4th year (Graduation year) or PharmD. degree from an ACPE-accredited college or school of pharmacy
• Pharmacy Licensure in any US State (within 90 days of residency start)
• Proficiency in Microsoft Office, specifically Microsoft Excel and PowerPoint
• Proficiency in written and verbal communications
• Strong career interest in Managed Care pharmacy

APPLICATION INSTRUCTIONS

• CV - Upload/attach to Workday application.
• Letter of Intent (max 300 words; Explain why you are interested in our program and managed care) - Upload/attach to Workday application.
• Any recommendation letters - Upload/attach to Workday application
• Deadline for application for this program is 12/31/2025

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 hourly rate of 21 - 36 USD / hourly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That\'s why 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) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group.

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 require reasonable accommodation in completing the online application process, please email: [e-mail] for support. Do not email [e-mail] for an update on your application or to provide your resume as you will not receive a response.

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.