Clinical Program Advisor - Hybrid -Express Scripts (Supply Chain)

JOB SUMMARY

The Clinical Program Advisor provides insight and guidance on complex clinical rebate modeling assignments/projects. 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.

ESSENTIAL FUNCTIONS:

• 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
• 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

QUALIFICATIONS:

• Bachelor’s degree in Pharmacy, Pharm.D. preferred, with current active U.S. Pharmacist License
• 2-4 years of pharmacy/ PBM/ Managed Care/healthcare related experience
• 1-2 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%.

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.

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.

For this position, we anticipate offering an annual salary of 92,700 - 154,500 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That’s why 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) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group