Senior Clinical Programs Consultant

Cigna Health and Life Insurance Company; Missouri; Hybrid; USD 150,000 - 190,000; Full time

Job summary

The Cigna Group, through its Evernorth Health Services division, seeks a Senior CAE to lead clinical program solutions, oversee modeling and reporting, and drive up-sell opportunities for a portfolio of clients. You will partner with account teams to align on business plans and deliverables.

The role requires strong communication, project management, and analytical skills, with deep knowledge of pharmacy benefits, formulary design, and health services.

Qualifications

• Doctor of Pharmacy or B.S./PharmD with advanced degrees or residency preferred
• Current U.S. Pharmacist License
• Strong communication and presentation skills
• Proven project management experience
• Ability to analyze data and interpret information
• Experience in pharmacy, managed care or PBM industry is valued

Responsibilities

• Lead upsell and implementation of clinical program solutions
• Provide clinical oversight and management for client programs
• Develop tools and training to support goals
• Present clinical business strategy to clients annually
• Collaborate with Account Executives and management teams
• Review utilization trends and suggest improvements

Skills

Communication

Project management

Presentation skills

Negotiation

Cross-functional teamwork

Analytical thinking

Microsoft Office

Education

Pharmacy degree (BS/PharmD)

Pharmacist license (US)

Tools

Microsoft Word

Excel

PowerPoint

Job description

The Cigna Group, through its Evernorth Health Services division, seeks a Senior CAE to lead clinical program solutions, oversee modeling and reporting, and drive up-sell opportunities for a portfolio of clients. You will partner with account teams to align on business plans and deliverables.

The role requires strong communication, project management, and analytical skills, with deep knowledge of pharmacy benefits, formulary design, and health services.