Senior Clinical Pharmacist: Formulary & Program Strategy

Cigna Healthcare; Scottsdale (AZ); Hybrid; USD 116,000 - 194,000; Full time

Benefits offered by this job

Health benefits

401(k)

Tuition reimbursement

Paid time off

Life insurance

Paid holidays

Job summary

Cigna Healthcare is seeking a Pharmacy Clinical Pharmacist– Clinical Program Senior Advisor to drive formulary strategies across pharmacy and medical benefits. You will lead utilization management initiatives and coordinate with PMO, PBM, and clinical teams to ensure affordability and optimal outcomes.

The role requires strong cross-functional collaboration in a matrixed environment, with focus on program development, policy alignment, and delivery of client-focused solutions.

Qualifications

• Licensed Pharmacist required
• PharmD preferred; advanced degree a plus
• 3+ years Commercial formulary management experience
• Experience developing end-to-end Pharmacy Clinical Programs
• Proven capabilities in strategic planning and clinical program development
• Solid understanding of evidence based medicine and standards of care
• Demonstrated ability to work in a highly matrixed environment
• Results driven with proven communication and collaboration skills across functions

Responsibilities

• Execute formulary management strategies for major specialty and non-specialty drug classes across the pharmacy and medical benefit.
• Evaluate opportunities for cross-benefit drug management in an integrated model.
• Develop and implement utilization management strategies and drug utilization review programs to enhance formulary strategies.
• Coordinate with matrix partners and subject matter experts to assess opportunities to create non-condition based clinical programs.
• Track and interpret the impact of future market changes, including drug pipeline and regulatory activity.
• Provide clinical subject matter expertise to the release and placement of new medications across pharmacy and medical to client facing partners.
• Provide support to the condition based program managers to enhance clinical affordability and outcomes.
• Coordinate with stakeholders to respond to RFP inquiries.
• Coordinate with legal and compliance to ensure regulatory alignment.
• Educate clinical teams to communicate strategy and assure execution of class strategy

Skills

Formulary management

Clinical program development

Strategic planning

Evidence-based medicine

Cross-functional collaboration

Matrixed environment

Education

PharmD

Advanced degree

Job description

Cigna Healthcare is seeking a Pharmacy Clinical Pharmacist– Clinical Program Senior Advisor to drive formulary strategies across pharmacy and medical benefits. You will lead utilization management initiatives and coordinate with PMO, PBM, and clinical teams to ensure affordability and optimal outcomes.

The role requires strong cross-functional collaboration in a matrixed environment, with focus on program development, policy alignment, and delivery of client-focused solutions.