Clinical Program Advisor - Express Scripts - Remote (Formulary Consulting)

Cigna Healthcare•St. Louis, MO

7d•$123,400 - $205,600•Remote

About The Position

The Clinical Program Advisor focuses on providing expert consultation on rebate contracts and formulary strategies for complex custom clients, including data analysis, scenario modeling, and financial impact assessments. It involves collaborating with Clinical Account Executives to develop strategies, lead interdepartmental discussions, and ensure accurate documentation and optimization of modeling processes. Additionally, the position requires creating client presentations and maintaining alignment with departmental goals.

Requirements

Bachelor’s degree in Pharmacy, Pharm.D. preferred, with current active U.S. Pharmacist License
2+ years of working in the pharmacy environment
1+ years of significant formulary management/development experience
Detail Oriented
Organizational, and Analytical skills
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%

Responsibilities

Provide consultation through rebate contract interpretation and strategic opportunity identification
Meet directly with large and most complex custom clients to review modeling and cultivate relationships with Formulary Decision Makers (i.e. Pharmacy Directors, VP’s, etc.)
Evaluate client data, create scenarios, and provide expert formulary modeling and guidance for existing clients in alignment with department strategic objectives
Ability to perform independent modeling with little to no modeling oversight by Clinical Program Sr. Advisor/ Sr. Manager
Collaborate with Clinical Account Executives to create strategy for Custom Clients based on formulary scenarios, rebate offerings, and modeling options.
In collaboration with Clinical Account Executives, discuss with clients any potential utilization management programs under evaluation to ensure that all modeling and requirements of these programs are accurately represented and in alignment with Pharmaceutical rebate contract.
Analyze the financial impact of client requested formulary changes to both the client and Express Scripts.
Create presentations for client formulary strategy and/or consulting meetings including all supporting documentation.
Lead interdepartmental team calls as required to discuss rebate invoicing eligibility terms/conditions.
Effectively document and communicate formulary analysis projects. (i.e., model maintenance and QC).
Ensures optimization of work processes for formulary modeling strategies and achievement of department goals