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Clinical Program Advisor
4 months ago
Job Description
* Provide operational Subject Matter Expertise (SME) to Clinical Account Executives/Implementation Manager (CAE/IPM's) for clinically related programs.
* Work directly with client as needed for gathering of requirements and support of clinical benefit changes.
* Track all clinical benefit changes for the client via various databases or reporting mechanisms.
* Coordinate the development of Clinical client requirements documents with CAE/IPM's and Plan Mangers if needed.
* Develop and/or maintain metrics or reporting on various Clinical Operations, Client Services related activities.
* Manage competing resources for clinical benefit/plan change requests.
* Develop strategic relationships/matrix with Clinical Operations and other Express Scripts leaders.
* Meet or beat objectives as it relates to the Clinical Operations responsibilities on interdisciplinary projects.
* Support/Perform QC and/or testing of clinical benefit and/or formulary changes
Responsibilities but not limited to
* Responsible for understanding the deliverables of a new client contract from a clinical perspective.
* Participate in Client Installation meetings
* Responsible for the successful implementation of new client clinical programs, complete understanding of Express Script's clinical product portfolio
* Identify and document client requirements and complete clinical portion of installation project plans
* Escalates any post installation issues and risks as necessary
* Escalates any Installation or clinical program related risks to Sr. Managers
* Participate in weekly client review forums
* Coordinate Clinical Installation Activity with internal functional areas
* Manage Clinical Post Installation Issues
QUALIFICATIONS
* Doctor of Pharmacy Degree (highly preferred) or Bachelor of Science in Pharmacy. Advanced clinical experience/training/certifications also preferred.
* Completion of clinical residency or at least 2 years clinical pharmacy experience.
* Current US Pharmacist Licensure.
* Excellent verbal and written communication skills required.
* Must have strong commitment to clinical services and company goals
* Ability to work with cross functional committees or workgroups.
* Able to manage multiple tasks and prioritization; able to function under stressful situations.
* Clinical expertise and understanding of clinical arena/issues across all points of pharmaceutical care.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
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 require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.
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.
