Clinical Program Advisor, Pharmacist – Clinical Operations

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛡️ Insurance

Healthcare • Insurance

The Cigna Group is a global health services company that provides medical, dental, pharmacy, behavioral and supplemental insurance products and benefits to individuals, families, employers, brokers, providers and Medicare beneficiaries. It offers employer-sponsored group plans, individual and family plans (including Open Enrollment offerings), Medicare, international health insurance covering more than 200 countries, and digital member services through the myCigna platform (including telehealth and claims management). Its products are delivered through operating subsidiaries such as Cigna Health and Life Insurance Company and other regional affiliates.

📋 Description

• Provides counsel and advice to top management on significant Clinical Program Management matters • Focuses on providing thought leadership and technical expertise across multiple disciplines • Represents company externally and serves as conduit to educate and enable care coordination between stakeholders • Serves as clinical advisor to the sales organization, providing ongoing product and industry knowledge/education • Understand client's existing clinical benefit and business philosophy • Accurately capture and document clinical benefit requirements in collaboration with business stakeholders • Work with internal partners to ensure all implications of requested clinical benefit requirements are vetted • Provide operational Subject Matter Expertise (SME) to Clinical Account Executives/Implementation Manager • Manages and tracks all requests to ensure timelines are met

🎯 Requirements

• Current U.S. Pharmacist License, Pharm.D. • Minimum of 3 years licensure experience preferred in managed care or with previous PBM experience • Knowledge of PBM industry/Managed care/Value Based healthcare industry is desirable

🏖️ Benefits

• comprehensive range of benefits • medical, vision, dental, and well-being and behavioral health programs • 401(k) • company paid life insurance • tuition reimbursement • minimum of 18 days of paid time off per year • paid holidays • leaves of absence