Clinical Program Advisor

🔥 1 minute ago

🇺🇸 United States – Remote

💵 $95.5k - $159.1k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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

• Provide counsel and advice to top management on significant Clinical Program Management matters • Coordinate across organizations and provide thought leadership and technical expertise • Serve as a clinical advisor to the sales organization • Act as a subject matter expert in relevant team areas • Lead, coach, and mentor team members • Act as a strategic business partner to internal and external stakeholders • Lead and execute large strategic projects to enhance operating effectiveness and drive change • Identify business improvement opportunities using data, feedback, and analysis • Execute processes, present solutions, and identify efficiencies • Participate in and contribute to training and professional development activities • Serve as business owner for client work involving operational and implementation benefit changes • Understand clients' clinical benefit and business philosophies • Capture and document clinical benefit requirements with business stakeholders • Provide customer service and act as a trusted client advisor • Vet, understand, and communicate implications of requested clinical benefit requirements • Consult with Client Benefit Administrators, Clinical Application Teams, Account Teams, Product Owners, SMEs, and specialized teams • Manage and track requests to meet timelines • Develop deep understanding of claims adjudication systems and associated clinical applications • Lead development, preparation, presentation, execution, and delivery of project plans

🎯 Requirements

• Current U.S. Pharmacist License • Pharm.D. • Strong understanding of Microsoft Office, Excel, and Access • Ability to multitask and communicate effectively • Written and verbal communication skills • Collaboration, analytical thinking, critical thinking, results-oriented, and organizational skills • Ability to work on multiple tasks, prioritize, resolve complex issues, and use strong project management skills • Ability to learn multiple internal reporting and analytic tools • Internet connection through cable broadband or fiber optic service if working from home, with at least 10Mbps download/5Mbps upload • Medicare experience preferred but not required • Managed care, PBM industry, or pharmaceutical sales experience preferred • Knowledge of PBM, managed care, or value-based healthcare industry desirable

🏖️ Benefits

• Annual bonus plan eligibility • Medical insurance • Vision insurance • Dental insurance • 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 • Remote/home-based work arrangement