Clinical Program Advisor/Program Management Advisor - Express Scripts - Hybrid (Supply Chain/Formula

This is a Hybrid position (3 days per week in-office + 2 days work at home).

The incumbent candidate can be based out of any US Cigna Healthcare office and is not restricted to locations that are listed in this posting.

JOB SUMMARY

The Clinical Program Advisor/Program Management Advisor provides insight and guidance on complex clinical rebate modeling assignments/projects and provide financial rebate modeling support to assigned clients.

Exercises considerable creativity, foresight, and judgment in conceiving, planning, and delivering initiatives.

Uses clinical professional knowledge and acumen to advise functional leaders and educate other team members.

Delivers formulary consulting clinical modeling support, but also works on broader projects, which require understanding on a more global perspective.

Recognized internally as a clinical subject matter expert.

Represents supply chain department internally and externally serving as conduit to educate downstream formulary consulting stakeholders resulting in an optimal formulary consulting service model.

Serves as clinical advisor resource providing ongoing product and industry knowledge/education that positively influence cost, quality and customer satisfaction.

ABOUT THE DEPARTMENT
Supply Chain - Pharma Strategy & Contracting combines the coordination and management of the company's key supplier groups under a single management team.

Major suppliers include brand and generic pharmaceutical manufacturers, retail pharmacies and drug wholesalers.

Express Scripts by Evernorth, a leading pharmacy benefit manager with the nation's largest mail order-pharmacy operations, assists its customers to moderate the cost and enhance the quality of prescription drug benefits provided to members nationwide.

ESSENTIAL FUNCTIONS:


* Develop and execute formulary modeling for existing clients with close attention to detail and accuracy


* Review custom Utilization Management policies for rebate eligibility or adherence to contract rebate terms


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


* Ability to perform independent modeling with little to no modeling oversight by Sr.

Manager/Clinical Director


* Identifies and recommends process improvement to streamline formulary consulting modeling


* Field clinical questions from other formulary consulting team members


* Develop and execute formulary modeling opportunities for existing clients with strategy guidance from manager and in close partnership with business partners


* Support standard utilization management review as needed


* Create client presentations and present to senior leaders within client as required

QUALIFICATIONS:


* Bachelor's degree in Pharmacy, Pharm.D.

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


* 2+ years of pharmacy/ PBM/ Managed Care/healthcare related experience


* 1+ years of formulary management/development e...