Program Management Advisor/Clinical Program Advisor - Express Scripts (Supply Chain)

118 Express Scripts Sales Operations, Inc.; Cool Valley (MO); Hybrid; USD 96,000 - 159,000; Full time

Benefits offered by this job

Medical benefits

Vision coverage

Dental coverage

Well-being programs

401(k)

Life insurance

Tuition reimbursement

Paid time off

Paid holidays

Leaves of absence

Job summary

Cigna Health and Life Insurance Company is seeking a Program Management Advisor to provide formulary consulting to custom clients. The role involves rebate contract interpretation, financial modeling, and cross-functional collaboration with Clinical Account Executives to design strategy for complex clients.

The position operates in a hybrid model (3 days in-office, 2 days remote) across US offices, with responsibilities including client meetings, data analysis, and documentation of formulary

Qualifications

• Bachelor's degree in Finance, Healthcare or related field; MBA or PharmD a plus.

Responsibilities

• Consult through rebate contract interpretation and modeling.
• Meet with large clients to review modeling and build relationships with Formulary Decision Makers.
• Evaluate client data, create scenarios, and provide formulary modeling guidance.
• Collaborate with Clinical Account Executives to strategize for clients based on formulary scenarios and modeling options.
• Discuss potential utilization management programs with clients to ensure alignment with contracts and requirements.
• Analyze financial impact of formulary changes for clients and Express Scripts.
• Create client presentations for formulary strategy and meetings with supporting documentation.
• Document and communicate formulary analysis projects and model maintenance.
• Optimize work processes for formulary modeling strategies and departmental goals.

Skills

Excel

PowerPoint

MS Access

Analytical skills

Relationship building

Education

Bachelor's degree

MBA

Pharm D

Tools

Excel

PowerPoint

MS Access

Job description

This is a hybrid position (3 days per week in-office + 2 days' work at home). The incumbent candidate can be based out of any US Cigna Healthcare office. This position is a Hybrid role where the Cigna policy requires office alignment but is not restricted to locations that are identified in this posting.

Program Management Advisor - Supply Chain / Formulary Consulting

JOB SUMMARY: The Program Management Advisor will provide consultation to custom formulary clients through contract interpretation and rebate financial modeling. In this role, you will have the opportunity to identify strategic opportunities for clients to optimize their formulary to drive value for both internal and external organizations. This position works collaboratively with cross-functional teams and may assist with interdepartmental teams or projects to drive process improvements. Internally recognized and trusted as the formulary rebate modeling subject matter expert.

ESSENTIAL FUNCTIONS

• Provide consultation through rebate contract interpretation and strategic opportunity identification.
• Meet directly with large and complex custom clients to review modeling and cultivate relationships with Formulary Decision Makers (i.e. Pharmacy Directors, VP's, etc.).
• Evaluate client data, create scenarios, and provide expert formulary modeling and guidance for existing clients in alignment with department strategic objectives.
• Collaborate with Clinical Account Executives to create strategy for Custom Clients based on formulary scenarios, rebate offerings, and modeling options.
• In collaboration with Clinical Account Executives, discuss with clients any potential utilization management programs under evaluation to ensure that all modeling and requirements of these programs are accurately represented and in alignment with Pharmaceutical rebate contract.
• Analyze the financial impact of client requested formulary changes to both the client and Express Scripts.
• Create presentations for client formulary strategy and/or consulting meetings including all supporting documentation.
• Participate in interdepartmental team calls as required to discuss rebate invoicing eligibility terms/conditions.
• Effectively document and communicate formulary analysis projects (i.e., model maintenance and QC).
• Ensures optimization of work processes for formulary modeling strategies and achievement of department goals.

QUALIFICATIONS

• Bachelor Degree, Finance, Healthcare or related area/MBA a plus Pharm D a plus.
• 2-4 years relevant work experience in PBM, Managed Care, Healthcare or Finance.
• Confidence, Detail Oriented, Organizational, and Analytical skills.
• Excellent PC skills – including Excel, PowerPoint and MS Access, experience with database.
• Must have expertise in Excel Financial modeling experience.
• Familiarity with pharmaceutical rebate contracts a plus.
• Proven ability to work in a fast paced - ever changing environment.
• Excellent relationship building and cross functional skills.
• Ability to travel approximately 10%.

About the Department

Supply Chain – Custom Formulary consulting combines the coordination and management of the company’s key supplier groups under a single management team. Major suppliers include brand and generic pharmaceutical manufacturers, retail pharmacies and drug wholesalers. Express Scripts, a leading pharmacy benefit manager with the nation’s largest mail order-pharmacy operations, assists its customers to moderate the cost and enhance the quality of prescription drug benefits provided to members nationwide. Its customers include private- and public-sector employers and healthcare organizations. 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.

Benefits

• 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.
• Leaves of absence.

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.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

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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.

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