Clinical Program Advisor

atThe Cigna GroupRemoteUS flagUnited StatesFull-timeUncategorizedMid-levelSenior$95.5k – $159.1k/year

Posted 2 days ago

This is a fully remote position, open to applicants in United States.

📋 Description

• Offer guidance and insights to senior management on key Clinical Program Management issues

• Provide thought leadership and technical proficiency across various disciplines

• Represent the organization in external engagements and educate stakeholders to facilitate care coordination

• Act as a clinical advisor for the sales team, sharing knowledge about products and the industry

• Serve as a subject matter expert in pertinent areas of the team

• Lead, coach, and mentor team members effectively

• Function as a strategic business partner for both internal and external stakeholders

• Spearhead and implement strategic projects aimed at enhancing operational efficiency and driving transformative change

• Identify opportunities for business improvements through data, feedback, and analysis

• Execute processes, present solutions, and pinpoint efficiencies

• Engage in and contribute to training and professional development initiatives

• Act as the business owner for client projects that involve operational and implementation benefit modifications

• Capture and document clinical benefit requirements in collaboration with business stakeholders

• Provide exceptional customer service and act as a trusted advisor to clients

• Consult with Client Benefit Administrators, Clinical Application Teams, Account Teams, Product Owners, SMEs, and specialized teams

• Oversee and track requests to ensure deadlines are adhered to

• Develop a comprehensive understanding of claims adjudication systems and clinical applications

• Lead the development, preparation, and presentation of project plans, including execution and delivery for assigned clients

• Provide project and administrative support while escalating issues, risks, and concerns


⛳️ Requirements

• Active U.S. Pharmacist License

• Doctor of Pharmacy (Pharm.D.) degree

• Proficiency in Microsoft Office, particularly Excel and Access

• Excellent multitasking abilities and effective communication skills

• Strong written and verbal communication skills, including listening, feedback, and the ability to simplify complex ideas/processes

• Skills in collaboration, analytical thinking, critical thinking, results orientation, and organization

• Capability to manage multiple tasks, prioritize effectively, resolve complex issues, and employ strong project management skills

• Willingness to learn various internal reporting and analytic tools for client management

• Medicare experience is preferred but not mandatory

• Experience in managed care, Pharmacy Benefit Manager (PBM) industry, or pharmaceutical sales is preferred

• Familiarity with the PBM, managed care, or value-based healthcare sectors is desirable

• Strong leadership abilities, team-oriented mindset, proactive management approach, and commitment to client service

• Access to home internet via cable broadband or fiber optic service with a minimum of 10 Mbps download and 5 Mbps upload speeds


🏝️ Benefits

• Eligibility for an annual bonus plan

• Medical insurance coverage

• Vision insurance coverage

• Dental insurance coverage

• Well-being and behavioral health programs

• 401(k) plan

• Company-paid life insurance

• Tuition reimbursement assistance

• Minimum of 18 days of paid time off annually

• Paid holidays

• Leaves of absence options

• Remote work arrangement available

• Requirement for cable broadband or fiber optic internet to work from home

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