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

• Provide guidance and strategic advice to senior management on key Clinical Program Management issues.

• Facilitate cross-organizational collaboration while offering thought leadership and technical expertise.

• Act as a clinical consultant for the sales team.

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

• Lead, coach, and mentor team members to foster professional growth.

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

• Drive and execute large-scale strategic initiatives aimed at enhancing operational efficiency and facilitating change.

• Identify opportunities for business improvement through data analysis, feedback, and assessment.

• Implement processes, propose solutions, and uncover efficiencies.

• Engage in and contribute to training and professional development initiatives.

• Act as the business owner for client projects involving operational and implementation benefit modifications.

• Comprehend clients' clinical benefit and business philosophies.

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

• Deliver exceptional customer service and function as a trusted advisor to clients.

• Assess, understand, and communicate the implications of requested clinical benefit requirements.

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

• Manage and monitor requests to ensure adherence to timelines.

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

• Lead the development, preparation, presentation, execution, and delivery of project plans.


⛳️ Requirements

• Valid U.S. Pharmacist License.

• Pharm.D. degree.

• Proficient in Microsoft Office, particularly Excel and Access.

• Demonstrated ability to multitask and communicate effectively.

• Strong written and verbal communication skills.

• Skills in collaboration, analytical thinking, critical thinking, and organization with a results-oriented mindset.

• Capacity to manage multiple tasks, prioritize effectively, resolve complex issues, and leverage strong project management skills.

• Willingness to learn various internal reporting and analytic tools.

• Reliable internet connection via cable broadband or fiber optic service for remote work, with a minimum of 10Mbps download and 5Mbps upload speeds.

• Medicare experience is preferred but not mandatory.

• Background in managed care, PBM industry, or pharmaceutical sales is preferred.

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


🏝️ Benefits

• Eligibility for an annual bonus plan.

• Health insurance coverage.

• Vision insurance coverage.

• Dental insurance coverage.

• Access to well-being and behavioral health programs.

• Participation in a 401(k) retirement plan.

• Company-paid life insurance.

• Tuition reimbursement assistance.

• A minimum of 18 days of paid time off each year.

• Paid holidays.

• Options for leaves of absence.

• Flexibility for remote or home-based work arrangements.

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