Senior Clinical Programs Advisor

Express Scripts Pharmacy Benefit Services; United States; À distance; USD 96 000 - 159 000; Plein temps

Avantages offerts par ce poste

Annual bonus plan

Health, vision, dental benefits

401(k) plan

Paid time off

Résumé du poste

The Cigna Group seeks an experienced Clinical Program Manager to counsel executives, coordinate cross‑functional programs, and provide strategic, data‑driven leadership across disciplines.

You will educate and enable care coordination, lead major client projects, and drive improvements in cost, quality, and satisfaction. Compensation ranges $95,500–$159,100 annually with bonus eligibility and comprehensive benefits.

Qualifications

• Current U.S. Pharmacist License, Pharm.D. required.
• Experience in managed care, PBM, or pharmaceutical sales preferred.
• Proven leadership, teamwork, proactive management, and strong client service.
• Knowledge of PBM/Managed care or value-based healthcare is desirable.

Responsabilités

• Act as SME in areas relevant to the team.
• Leads, coaches and mentors team members.
• Partners as strategic business partner to internal/external stakeholders.
• Leads large strategic projects to enhance operating effectiveness and drive change.
• Identifies business improvement opportunities using data, feedback, and analysis.
• Delivers processes with forward-thinking solutions and efficiencies.
• Participates in training and professional development activities.
• Owns client work involving operational and implementation benefits changes.
• Understands client's clinical-benefit philosophy to minimize clarifications.
• Captures and documents clinical benefit requirements with stakeholders.
• Provides excellent customer service and acts as a trusted client advisor.
• Collaborates with internal partners to vet implications.
• Consults with SMEs, Account Teams, and Product Owners.
• Manages and tracks all requests to meet timelines.
• Develops understanding of claims adjudication system and clinical applications.
• Leads project plans and delivery for each client.

Connaissances

Multitask effectively

Excel & Access

Written & verbal communication

Project management

Internal reporting tools

Administrative support & escalation

Medicare experience

Formation

Pharm.D.

PBM/Managed care experience

Leadership & client service

PBM/Managed care knowledge

Description du poste

The Cigna Group seeks an experienced Clinical Program Manager to counsel executives, coordinate cross‑functional programs, and provide strategic, data‑driven leadership across disciplines.

You will educate and enable care coordination, lead major client projects, and drive improvements in cost, quality, and satisfaction. Compensation ranges $95,500–$159,100 annually with bonus eligibility and comprehensive benefits.