Clinical Program Advisor – Clinical Operations
The Cigna Group
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $95,100 - $158,500 per year
Job Level
Mid-LevelSenior
About the role
- Provides counsel and advice to top management on significant Clinical Program Management matters
- Focuses on providing thought leadership and technical expertise across multiple disciplines
- Responsible for the successful implementation of new client clinical programs
- Work directly with client as needed for gathering of requirements and support of clinical benefit changes
- Identify and document client requirements and complete clinical portion of installation project plans
- Act as a subject matter expert (SME) in areas relevant to the team
- Develop strategic relationships/matrix with Clinical Operations and other Express Scripts leaders
- Leads, coaches, and develops by providing mentorship to members within the team
- Acts as a strategic business partner to various stakeholders both internal/external
- Lead and execute large strategic projects designed to enhance operating effectiveness and drive overall change
- Identify business improvement opportunities using data, feedback, and analysis
- Provide operational Subject Matter Expertise (SME) to Clinical Account Executives/Implementation Manager (CAE/IPM’s)
- Develop a deep understanding of claims adjudication system and associated clinical applications
Requirements
- Current U.S. Pharmacist License, Pharm.D.
- 3 years pharmacy experience; 3+ years in managed care, the Pharmacy Benefit Manger (PBM) industry, or pharmaceutical sales preferred
- Proven leadership skills, team-orientation, a proactive management style and strong commitment to client service a must
- Knowledge of PBM industry/Managed care/Value Based healthcare industry is desirable
Benefits
- medical, vision, dental, and well-being and behavioral health programs
- 401(k) with company match
- company paid life insurance
- tuition reimbursement
- a minimum of 18 days of paid time off per year
- paid holidays
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
clinical program managementrequirements gatheringproject planningdata analysisclaims adjudication systemclinical applications
Soft skills
thought leadershipmentorshipstrategic relationship buildingteam orientationproactive managementclient service commitment
Certifications
U.S. Pharmacist LicensePharm.D.