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Program Management Advisor/Clinical Program Advisor

3 months ago

Franklin Lakes, United States The Cigna Group Full time

POSITION SUMMARY

The Program Management Advisor works closely with the Program Management Senior Manager to provide financial rebate modeling support to assigned clients. Under general supervision, plans, coordinates and implements financial and business processes to support and enhance the client formulary rebate optimization. Position will have responsibilities related to rebate modeling forecasts, Pharmacy & Therapeutics Committee meetings, Annual Formulary Summit meetings as well as any ad hoc modeling requests. This position will be responsible to compile, interpret, and analyzes data. Works in collaboration with Formulary Consulting Leadership to provide strategic opportunities to maximize value for clients and Express Scripts Supply Chain Organization.

ESSENTIAL FUNCTIONS:

  • Meet directly with client account teams and clients on a regular basis in order to utilize financial models to evaluate the rebate and cost impact of implementing existing and potential (new) client formularies

  • Discuss with client/client teams any potential utilization management programs under evaluation to ensure that all modeling and requirements of these programs are accurately evaluated and communicated to Pharmaceutical partners

  • Analyze the financial impact of client requested formulary changes to both the client and Express Scripts

  • Create and deliver presentations for client meetings including all supporting documentation for moderate complexity clients.

  • Coordinate internal prep meetings with participation from various areas of Express Scripts, including but not limited to Sales & Account Management, Pricing, Invoicing, and Pharma Strategy and Contracting

  • Provide analytic support for rebate contact negotiations

  • Develop and execute formulary modeling for moderate to complex prospect clients and client renewals with strategy guidance from manager and in close partnership with other business partners and key stakeholders

  • Interact closely with other areas of Pharma Strategy and Contracting department to ensure all manufacturer contract terms are correctly reflected in all models

  • Improve on existing systems and procedures to effectively document and communicate formulary analysis projects. (including maintaining and revising existing financial models)


QUALIFICATIONS:

  • Bachelor's degree, Finance or related area/MBA a plus

  • Licensed Pharmacist, will be considered, Pharm- D a plus

  • Bachelors degree in related field or 5 to 8 years of experience or Masters degree with 3-5 years relevant experience

  • Strong, detail oriented organizational and analytical skills

  • Excellent PC skills including Excel, PowerPoint and MS Access

  • Financial analysis or modeling experience

  • Proven ability to work in a fast paced ever changing environment

  • Excellent relationship building and cross functional skills

  • Travel up to 10%


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.