Clinical Program Management Specialist
3 days ago
As a Clinical Program Advisor at The Cigna Group, you will play a critical role in providing expert counsel and advice to top management on significant Clinical Program Management matters. Your focus will be on providing thought leadership and technical expertise across multiple disciplines, driving business growth and customer satisfaction.
Key Responsibilities:
- Develop and implement clinical program strategies to optimize healthcare experiences and customer satisfaction
- Collaborate with cross-functional teams to analyze client data and create scenarios for rebate modeling and optimization
- Provide expert guidance on complex clinical rebate modeling assignments and projects
- Work closely with the underwriter to confirm utilization, strategy, and contract alignment
- Perform quality assurance reviews on results to ensure accuracy and compliance
- Field clinical questions from other renewal team members and provide timely support
- Identify and recommend process improvements to streamline renewal modeling and enhance efficiency
- Develop and present strategic rebate optimization opportunities and their long-term benefits and challenges
- Support team leadership by reviewing key and complex client rebate modeling and translating modeling primary components and assumptions into concise and understandable format and messaging for leadership reviews and Pricing Committee
Requirements:
- Bachelor's degree in pharmacy, Pharm.D. preferred, with current active U.S. Pharmacist License
- 2-4 years of pharmacy/PBM/Managed Care/healthcare-related experience
- 1-2 years of formulary management/development experience preferred
- Detail-oriented, organized, and analytical skills
- Excellent PC skills, including Excel, PowerPoint, and MS Access, experience with database
- Financial or analytical modeling experience
- Familiarity with pharmaceutical rebate contracts a plus
- Proven ability to work in a fast-paced, ever-changing environment
- Excellent relationship-building and cross-functional skills
- Ability to travel approximately 5%
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