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The Cigna Group

Clinical Staff Pharmacist – Coverage Review

The Cigna Group

Utilization management pharmacist reviewing medication coverage and providing clinical support at Cigna Group. Collaborating with multi-disciplinary teams to ensure proper clinical decisions and customer experience.

Posted 7/13/2026full-timeRemote • 🇺🇸 United StatesLead💰 $55 - $91 per hourWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in clinical pharmacy with a focus on drug therapy questions and critical decision-making in Utilization Management. Collaborates effectively within a multi-disciplinary team to enhance customer-centric care.

Highest-signal resume keywords
Licensed PharmacistBachelor’s Degree in Pharmacy5+ Years Clinical Pharmacy ExperienceUtilization Management ExperienceProficient in Microsoft Office

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Clinical Decision-MakingUtilization ManagementCritical ThinkingClinical ReviewsQueue System Management
Soft Skills
CollaborationCustomer CentricityQuick Decision-Making
Certifications & Qualifications
Licensed Pharmacist
Industry Keywords
Specialty PharmacyPharmaceuticalsLead/Supervisor Experience

About the role

Key responsibilities & impact
  • Supports the Coverage Review Department (CRD) as a clinical resource for drug therapy questions
  • Applies critical thinking to achieve proper clinical decisions when performing clinical reviews
  • Utilizes multiple systems and other clinical resources to achieve proper decisions in Utilization Management reviews
  • Works and maneuvers within a queue system that prioritizes clinical reviews
  • Makes clinical decisions quickly and at times decides and acts with limited information
  • Works and collaborates with a multi-disciplinary clinical team to provide a customer centric experience

Requirements

What you’ll need
  • Licensed Pharmacist required
  • Bachelor’s Degree in Pharmacy required; PharmD preferred
  • 5+ years of clinical pharmacy experience
  • Proficient technical skills utilizing Microsoft Office applications required
  • Utilization Management Experience Preferred, but not required
  • Experience with Specialty Pharmacy/Pharmaceuticals preferred
  • 2+ years lead/supervisor or retail pharmacy experience preferred

Benefits

Comp & perks
  • Health insurance
  • 401(k)
  • Company paid life insurance
  • Tuition reimbursement
  • Minimum of 18 days of paid time off per year
  • Paid holidays
  • Leaves of absence