Clinical Program Senior Advisor – Academic Detailing

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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

• Analyze pharmacy claims, medical data, provider prescribing patterns, utilization trends, and client-specific priorities to identify actionable clinical, quality, safety, and financial opportunities. • Develop, document, and execute evidence-based academic detailing strategies, including patient-specific clinical opportunity identification and provider-specific intervention plans aligned to clinical guidelines, formulary strategy, benefit design, and client objectives. • Deliver customized prescriber education through provider-facing channels such as telephonic consultation, clinical direct messaging, fax, written materials, grand rounds, or other approved outreach methods to support clinically appropriate, cost-effective medication use. • Use Evernorth analytic tools and reporting resources to improve targeting, monitor outreach activity, assess prescribing trends, and evaluate clinical and financial impact over time. • Provide provider-facing recommendations related to initiation, continuation, discontinuation, regimen simplification, dose optimization, formulary alternatives, adherence barriers, and other medication therapy opportunities within approved protocols and clinical guidance. • Partner with clients, account teams, clinical subject matter experts, and internal stakeholders to prioritize initiatives, align outreach topics, integrate client-specific processes, and support transparent reporting of progress and outcomes. • Maintain accurate documentation of outreach activity, provider feedback, intervention status, and projected or realized impact to support client reporting, operational continuity, and program improvement. • Contribute to staff meetings, quality workgroups, client discussions, and departmental initiatives by sharing insights, best practices, outcomes, barriers, and opportunities to improve provider engagement effectiveness. • Support formal and informal training, mentoring, and professional development activities, including development or delivery of education for peers, providers, clients, or internal partners. • Serve as a clinical resource for provider engagement initiatives and perform other related responsibilities as needed to support client priorities, departmental goals, and Evernorth’s broader clinical strategy.

🎯 Requirements

• Current pharmacist license required; relevant PBM, managed care, health plan, provider engagement, or clinical program experience preferred. • Strong clinical knowledge and ability to interpret medication therapy, prescribing patterns, utilization trends, quality metrics, and evidence-based guidelines. • Experience using claims data, reporting tools, dashboards, or analytic platforms to identify opportunities, support decision-making, and measure outcomes. • Client management, consultative communication, or provider-facing education experience preferred. • Excellent verbal, presentation, and written communication skills, with the ability to translate complex clinical and data insights into clear, actionable recommendations for providers, clients, and internal partners. • Strong project management skills, including the ability to manage multiple priorities, organize work independently, meet deadlines, and resolve complex issues. • Demonstrated collaboration, leadership, accountability, and commitment to service excellence, continuous improvement, and measurable outcomes. • Proficiency with Microsoft Office and ability to learn and effectively use internal reporting, documentation, and analytic tools. • Ability to work independently in a remote environment while actively collaborating with cross-functional teams and client stakeholders.

🏖️ Benefits

• 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. • 401(k) • Company paid life insurance • Tuition reimbursement • A minimum of 18 days of paid time off per year • Paid holidays • Leaves of absence