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

Cigna Corporation; St. Louis, BLOOMINGTON, Morris Plains, Bloomfield (MO, MN, NJ, CT); Hybrid; USD 96,000 - 159,000; Full time

Benefits offered by this job

Annual bonus plan

Health benefits

401(k) plan

Tuition reimbursement

Paid time off (18+ days)

Paid holidays

Job summary

Cigna Health and Life Insurance Company is seeking a Program Management Advisor/Clinical Program Advisor in a hybrid role across multiple US locations. The incumbent will advise on formulary strategies, rebate modeling and client consultation while coordinating with cross-functional teams.

Responsibilities include analyzing data, modeling financial impacts, and presenting strategies to clients and internal stakeholders. Travel up to 10% is expected and a bonus plan may be offered.

Qualifications

• Bachelor degree in Finance, Healthcare or related field (MBA a plus).
• 2-4 years relevant work experience in PBM, Managed Care, Healthcare or Finance.
• Strong analytical, modeling and Excel skills.

Responsibilities

• Provide consultation through rebate contract interpretation and strategic opportunity identification.
• Meet with large, complex clients to review modeling and build client relationships.
• Evaluate data, create scenarios and provide formulary modeling guidance for clients.
• Collaborate with Clinical Account Executives to craft strategy for custom clients.
• Discuss potential utilization management programs and align modeling with contracts.
• Prepare client presentations and document development for formulary strategy.

Skills

Financial modeling

Contract interpretation

Analytical skills

Relationship building

Cross-functional collaboration

Education

Bachelor degree in Finance/Healthcare or related area

MBA a plus

Tools

Excel

PowerPoint

MS Access

Job description

Program Management Advisor/Clinical Program Advisor - Express Scripts (Supply Chain)# The Cigna Group Careers## Program Management Advisor/Clinical Program Advisor - Express Scripts (Supply Chain)Apply: Hybrid: St. Louis, MO: Bloomington, MN: Morris Plains, NJ: Bloomfield, CT: Full time: Posted Yesterday: 26013337## **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. 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, click here.