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

Cigna Healthcare • St. Louis, MO

4d • Hybrid

About The Position

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 and is not restricted to locations that are listed in this posting. JOB SUMMARY The Clinical Program Advisor/Program Management Advisor provides insight and guidance on complex clinical rebate modeling assignments/projects and provide financial rebate modeling support to assigned clients. Exercises considerable creativity, foresight, and judgment in conceiving, planning, and delivering initiatives. Uses clinical professional knowledge and acumen to advise functional leaders and educate other team members. Delivers formulary consulting clinical modeling support, but also works on broader projects, which require understanding on a more global perspective. Recognized internally as a clinical subject matter expert. Represents supply chain department internally and externally serving as conduit to educate downstream formulary consulting stakeholders resulting in an optimal formulary consulting service model. Serves as clinical advisor resource providing ongoing product and industry knowledge/education that positively influence cost, quality and customer satisfaction. ABOUT THE DEPARTMENT Supply Chain - Pharma Strategy & Contracting 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 by Evernorth, 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.

Requirements

• Bachelor’s degree in Pharmacy, Pharm.D. or Bachelor's degree, Finance or related area/MBA a plus
• 2+ years of pharmacy/ PBM/ Managed Care/healthcare related experience
• 1+ years of formulary management/development experience preferred
• Detail Oriented, Organizational, and Analytical skills
• Ability to work independently and execute on deliverables in a timely manner and with little oversight
• Excellent PC skills – including Excel, PowerPoint and MS Access, experience with database
• Financial or analytical 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%. 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.

Responsibilities

• Develop and execute formulary modeling for existing clients with close attention to detail and accuracy
• Review custom Utilization Management policies for rebate eligibility or adherence to contract rebate terms
• Analyze the financial impact of client requested formulary changes to both the client and Express Scripts
• Ability to perform independent modeling with little to no modeling oversight by Sr. Manager/Clinical Director
• Identifies and recommends process improvement to streamline formulary consulting modeling
• Field clinical questions from other formulary consulting team members
• Develop and execute formulary modeling opportunities for existing clients with strategy guidance from manager and in close partnership with business partners
• Support standard utilization management review as needed
• Create client presentations and present to senior leaders within client as required

Benefits

• 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 and paid holidays.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level