Managed Care Resident - Remote - Express Scripts (Health Plans)

Cigna Healthcare; United States; Remote; USD 63,039,000 - 106,020,000; Full time

Benefits offered by this job

Health benefits

401(k)

Tuition reimbursement

Paid time off

Life insurance

Job summary

Cigna Healthcare, via Evernorth Health Services, offers a 12-month Health Plan Pharmacy Residency focusing on clinical strategy, formulary management, and health plan account management. The residency collaborates with clients, account teams, and cross-functional partners to drive clinical and financial outcomes across Commercial, Medicare, Medicaid, and Marketplace lines.

Participants gain hands-on experience in client consultation, trend management, and quality initiatives, preparing for

Qualifications

• Pharm.D. 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 Excel and PowerPoint
• Proficiency in written and verbal communications
• Strong career interest in Managed Care pharmacy
• Must upload/attach Pharmacy School Transcript and Resume to application for review

Responsibilities

• Collaborate with health plan clients and account teams to develop clinical strategies.
• Analyze pharmacy and medical trends and recommend solutions to improve outcomes.
• Support formulary, utilization management, and specialty drug management initiatives.
• Evaluate and implement clinical programs and innovative healthcare solutions.
• Contribute to quality improvement initiatives, including Stars and regulatory market strategies.
• Participate in client presentations, strategic planning discussions, and cross-functional workgroups.
• Support value-based contracting, pipeline management, and emerging therapy assessments.
• Monitor legislative and regulatory developments impacting managed care pharmacy.
• Contribute to projects, research, and presentations supporting objectives

Skills

Written communication

Verbal communication

Managed Care interest

Education

Pharm.D. degree

Tools

Microsoft Excel

PowerPoint

Job description

Location: Virtual with occasional travel

Application Deadline 12/31/2026

Job Description

The Health Plan Pharmacy Resident participates in a 12-month post-PharmD residency designed to provide a comprehensive managed care experience with a focus on clinical strategy, formulary management, and health plan account management. As an integral member of the Health Plan Delivery team, the resident will collaborate with health plan clients, account teams, and cross-functional partners to develop and execute clinical strategies that improve member outcomes, optimize pharmacy spend, and support client goals. The residency provides hands-on experience in client consultation, trend management, formulary strategy, quality initiatives, and managed care operations across Commercial, Medicare, Medicaid, and Marketplace lines of business. Through this residency, participants will develop the clinical, strategic, and client-facing skills needed for future careers in managed care pharmacy, clinical consulting, account management, formulary strategy, and health plan leadership.

As a resident, you will support activities including not limited to:

• Collaborating with health plan clients and account teams to develop and execute clinical strategies
• Analyzing pharmacy and medical trends and recommending solutions to improve clinical and financial outcomes
• Supporting formulary, utilization management, and specialty drug management initiatives
• Evaluating and implementing clinical programs and innovative healthcare solutions
• Contributing to quality improvement initiatives, including Stars and regulatory market strategies
• Participating in client presentations, strategic planning discussions, and cross-functional workgroups
• Supporting value-based contracting, pipeline management, and emerging therapy assessments
• Monitoring legislative and regulatory developments impacting managed care pharmacy
• Contributing to projects, research, and presentations that support organizational and client objectives

What You'll Learn:

• The dynamic partnership between PBMs and health plans
• Strategies for supporting and consulting with health plan clients
• Effective collaboration across clinical, operational, and account management teams
• Formulary strategy across Commercial, Medicare, Medicaid, and Marketplace markets
• Clinical and financial decision-making within managed care pharmacy
• Fundamentals of account management and client consulting
• Approaches to achieving client goals and driving measurable outcomes
• The clinical, operational, and business foundations of managed care pharmacy

Minimum Requirements:

• Pharm.D. 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
• Required: Must upload/attach Pharmacy School Transcript and Resume to application for review

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 22 - 37 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.

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 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.