Sr. Clinical Account Executive - Express Scripts - Remote (Commercial) - Encore

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

“Please note this role is open to Cigna Group retirees only.” The Sr. CAE is assigned a set of complex / sophisticated clients. They serve clients as the primary contact for all clinical related initiatives, financial /rebate and clinical modeling, trend evaluation, clinical business plan development consultation-presentation, implementation and oversight, results evaluation, and follow-up related to the comprehensive management of clinical programs and services issues and initiatives regarding programs and up-sell. ESSENTIAL FUNCTIONS Leads the up-sell and implementation of clinical program solutions to clients through consultative methods and processes (e.g. Ongoing interaction, quarterly/ annual reviews, modeling/ report reviews, etc) in accordance with client business plans and upon collaboration and coordination with account management team members regarding operational details. Demonstrates clear understanding and interpretation of current industry trends and drug information. Continually reviews to detect medication utilization issues related to specialty drug plan design. Communicates to client’s data based explanations for trends and explores opportunities for improvement as necessary. Oversee development, preparation, quality and presentation of clinical business strategy recommending reporting improvements as necessary (utilization and/or health management strategy/reporting) for each client assigned. Acts in concert with assigned Account Executives and Account Management to service all needs of the client Provides clinical oversight and management to business division, develops tools and training for carrying out work plan goals, and represents the business division as a point of contact for various corporate clinical initiatives including product development task forces, prospective client sales meetings, client advisory board panels, etc. Leading, developing and implementing process improvement initiatives with broader CAE, peer audience, Clinical product teams, PhAn as well as clients Quick study, high energy, self-starter, approachable, and collaborative Influential and impactful presentation and communication skills Strong business acumen Flexibility, keen to improve organizational effectiveness Leads the up-sell and implementation of clinical program solutions and formulary related programs to clients through consultative methods and processes Excellent presentation and client relationship skills needed in order to facilitate upsell of clinical programs and retain clients. Development, preparation, and presentation of clinical business strategy for multiple clients on a yearly basis. Continually reviews plan setup to detect medication utilization issues and trends related to formulary and drug plan design Shares best practice standards with broader CAE peer audience.

QUALIFICATIONS

• B.S. in Pharmacy, Doctor of Pharmacy and advanced degrees or pharmacy residency preferred 4+ years relevant experience in pharmacy, managed care or PBM industry
• Current U.S. Pharmacist License
• Strong PC skills including Microsoft Word, Excel, and PowerPoint; Working knowledge of financials.
• Strong Project management skills.
• Superior verbal and written communication and presentation skills.
• Ability to negotiate, lead others, organize, analyze and interpret information
• Strong analytical and problem solving skills
• Strong focus on book of business client satisfaction and client retention results
• Demonstrated ability managing projects, utilizing proven project management processes
• Ability to work cross-functionally to proactively communicate and to resolve issues with the highest sense of urgency.
• Ability to work cross-functionally to resolve complex client issues

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.

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.

If you need a reasonable accommodation to complete the online application process, please email [e-mail] for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

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

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.