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

Cigna Healthcare

1d•Remote

About The Position

The Sr. Clinical Account Executive (CAE) is responsible for managing a portfolio of complex and sophisticated clients. This role serves as the primary contact for all clinical initiatives, including financial and rebate modeling, clinical modeling, trend evaluation, and the development, presentation, implementation, and oversight of clinical business plans. The Sr. CAE also evaluates results and provides follow-up related to the comprehensive management of clinical programs and services, addressing issues and initiatives regarding programs and up-sell opportunities. This position is exclusively open to Cigna Group retirees. The role is part of Evernorth Health Services, a division of The Cigna Group, which focuses on creating pharmacy, care, and benefit solutions to enhance health and vitality. Evernorth is committed to innovating to make the prediction, prevention, and treatment of illness and disease more accessible. The Cigna Group as a whole is dedicated to improving the health and vitality of those they serve through its divisions, Cigna Healthcare and Evernorth Health Services.

Requirements

Role is open to Cigna Group retirees only
B.S. in Pharmacy
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 working at home occasionally or permanently, internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload

Nice To Haves

Doctor of Pharmacy and advanced degrees or pharmacy residency preferred

Responsibilities

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
Leads the up-sell and implementation of clinical program solutions and formulary related programs to clients through consultative methods and processes
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