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

4 Locationsmid

Other

0 views0 saves0 applied

Quick Summary

Overview

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.

Technical Tools

Other

The Program Management Advisor will provide consultation to custom formulary clients through contract interpretation and rebate financial modeling. In this role, you will have the opportunity to identify strategic opportunities for clients to optimize their formulary to drive value for both internal and external organizations. This position works collaboratively with cross-functional teams and may assist with interdepartmental teams or projects to drive process improvements. Internally recognized and trusted as the formulary rebate modeling subject matter expert.

Provide consultation through rebate contract interpretation and strategic opportunity identification
Meet directly with large and 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
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.
Participate in 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

Requirements

~1 min read

Bachelor Degree, Finance, Healthcare or related area/MBA a plus
Pharm D a plus
2-4 years relevant work experience in PBM, Managed Care, Healthcare or Finance
Confidence, Detail Oriented Organizational, and Analytical skills
Excellent PC skills – including Excel, PowerPoint and MS Access, experience with database
Must have expertise in Excel
Financial 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%.

What We Offer

~2 min read

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 seeyourself@thecignagroup.com 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.