Clinical Program Advisor

Job not on LinkedIn

🔥 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

Founded 1982

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • Healthcare Insurance • Pharmaceuticals

The Cigna Group is a global health company committed to improving the health and vitality of its clients, customers, and patients. With its two divisions, Cigna Healthcare and Evernorth Health Services, the company focuses on enhancing quality of life through healthcare services and pharmacy benefits management. The Cigna Group is dedicated to ethical practices in healthcare and artificial intelligence, and strives to create positive change in the healthcare system. It also emphasizes its Environmental, Social, and Governance (ESG) responsibilities, aiming to impact health equity and foster innovation in healthcare delivery.

📋 Description

• Provide counsel and advice to top management on significant Clinical Program Management matters • Provide thought leadership and technical expertise across multiple disciplines • Represent the company externally and educate stakeholders to enable care coordination • Serve as clinical advisor to the sales organization on product and industry knowledge • 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 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 • Capture and document clinical benefit requirements with business stakeholders • Provide customer service and act as a trusted client advisor • Consult with Client Benefit Administrators, Clinical Application Teams, Account Teams, Product Owners, SMEs, and specialized teams • Manage and track requests to ensure timelines are met • Develop a deep understanding of claims adjudication systems and clinical applications • Lead development, preparation, and presentation of project plans, including execution and delivery for assigned clients • Provide project and administrative support and escalate issues, risks, and concerns

🎯 Requirements

• Current U.S. Pharmacist License • Pharm.D. • Microsoft Office, with strong understanding of Excel and Access • Ability to multitask and communicate effectively • Written and verbal communication skills, including listening, feedback, and translating complex ideas/processes • 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 for client management • Medicare experience preferred but not required • Managed care, Pharmacy Benefit Manager (PBM) industry, or pharmaceutical sales experience preferred • Knowledge of PBM, managed care, or value-based healthcare industry desirable • Leadership skills, team orientation, proactive management style, and strong commitment to client service • Home internet through cable broadband or fiber optic service with at least 10 Mbps download and 5 Mbps upload

🏖️ 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 work arrangement • Cable broadband or fiber optic internet requirement for home working