Clinical Advisor

• Analyze pharmacy claims, medical data, provider prescribing patterns, utilization trends, and client-specific priorities to identify actionable clinical, quality, safety, and financial opportunities.
• Develop, document, and execute evidence-based academic detailing strategies, including patient-specific clinical opportunity identification and provider-specific intervention plans aligned to clinical guidelines, formulary strategy, benefit design, and client objectives.
• Deliver customized prescriber education through provider-facing channels such as telephonic consultation, clinical direct messaging, fax, written materials, grand rounds, or other approved outreach methods to support clinically appropriate, cost-effective medication use.
• Use Evernorth analytic tools and reporting resources to improve targeting, monitor outreach activity, assess prescribing trends, and evaluate clinical and financial impact over time.
• Provide provider-facing recommendations related to initiation, continuation, discontinuation, regimen simplification, dose optimization, formulary alternatives, adherence barriers, and other medication therapy opportunities within approved protocols and clinical guidance.
• Partner with clients, account teams, clinical subject matter experts, and internal stakeholders to prioritize initiatives, align outreach topics, integrate client-specific processes, and support transparent reporting of progress and outcomes.
• Maintain accurate documentation of outreach activity, provider feedback, intervention status, and projected or realized impact to support client reporting, operational continuity, and program improvement.
• Contribute to staff meetings, quality workgroups, client discussions, and departmental initiatives by sharing insights, best practices, outcomes, barriers, and opportunities to improve provider engagement effectiveness.
• Support formal and informal training, mentoring, and professional development activities, including development or delivery of education for peers, providers, clients, or internal partners.
• Serve as a clinical resource for provider engagement initiatives and perform other related responsibilities as needed to support client priorities, departmental goals, and Evernorth’s broader clinical strategy.

Senior Clinical Consultant supporting Evernorth’s Provider Engagement strategy

Clinical Program Senior Advisor – Academic Detailing

Senior Clinical Consultant providing clinical expertise to enhance medication use and provider engagement strategies at Evernorth. Utilizing analytics and education to improve quality, safety, and affordability of healthcare.

• Analyze pharmacy claims, medical data, provider prescribing patterns, utilization trends, and client-specific priorities
• Develop, document, and execute evidence-based academic detailing strategies
• Deliver customized prescriber education through provider-facing channels
• Use Evernorth analytic tools and reporting resources to improve targeting
• Provide provider-facing recommendations related to medication therapy opportunities
• Partner with clients, account teams, clinical subject matter experts, and internal stakeholders to prioritize initiatives
• Maintain accurate documentation of outreach activity, provider feedback, intervention status
• Contribute to staff meetings, quality workgroups, client discussions, and departmental initiatives

Senior Clinical Consultant improving medication use and quality at Evernorth

Senior Clinical Program Advisor – Academic Detailing

Senior Clinical Consultant supporting Evernorth’s Provider Engagement strategy through clinical expertise and analytics. Focused on improving medication use, quality, safety, and affordability.

• Facilitate a learning environment for clinical and non-clinical staff that results in effective new employee onboarding
• Audit and assess training needs for staff based on review of audit results/trends
• Develop and deliver new and reinforcement training based on needs
• Collaborate with business area leaders to communicate relevant training resources

Senior Clinical Training Advisor facilitating learning for clinical and non-clinical staff

Senior Clinical Training Advisor

Senior Clinical Training Advisor facilitating effective onboarding and continuous learning within the Clinical Coding Review team at Blue Cross NC. Responsibilities include training development, audits, and collaboration with leaders.

• Responsible for driving growth in Specialty
• Build and execute product roadmap addressing oncology, rare disease and other high-cost therapies
• Develop cost management and population health programs
• Inform the clinical strategy and provider and member journeys
• Define drug lists, clinical workflows and clinical rules
• Lead clinical committees and clinical governance
• Identify opportunities for clinical journal and research publications

Clinical Advisor responsible for product innovation in oncology and rare disease management

Clinical Advisor – Oncology, Rare Disease Products

Clinical Advisor driving product innovation for oncology and rare disease management at CVS Health. Developing solutions to secure market leadership in Specialty healthcare.

• Provides counsel and advice to top management on significant Clinical Program Management matters
• Acts as a subject matter expert (SME) in relevant areas
• Leads, coaches, and develops team members
• Executes large strategic projects
• Identifies business improvement opportunities

Clinical Program Advisor with expertise in managing healthcare programs at Cigna

Clinical Program Advisor

Clinical Program Advisor providing strategic leadership and expertise in managing healthcare programs for Cigna. Responsible for enhancing operating effectiveness and ensuring client satisfaction.

• Partner with Providers in the Field
• Meet directly with physicians, advanced practice providers, pharmacists, dietitians, and clinical staff in practices and health systems.
• Develop trusted relationships with clinical stakeholders and serve as a subject matter expert on supplementation, whole-person care, and Fullscript solutions.
• Conduct in-office visits, provider education sessions, lunch-and-learns, workshops, and clinical presentations.
• Support Enterprise Sales Efforts
• Partner with Enterprise Account Executives and Solution Consultants throughout the sales cycle.
• Participate in discovery meetings to understand clinical workflows, patient populations, and practice goals.
• Demonstrate how Fullscript supports patient outcomes, provider efficiency, adherence, and practice growth.
• Deliver Clinical Education
• Educate providers on evidence-informed supplement protocols, product selection, quality standards, and clinical applications.
• Present clinical evidence and emerging research in a practical, provider-friendly manner.
• Support regional and national conferences, customer events, webinars, and educational programs.
• Drive Adoption and Growth
• Support onboarding and activation of new enterprise customers.
• Identify opportunities to expand utilization within provider groups and health systems.
• Gather customer feedback and share market insights with Product, Marketing, and Commercial teams.
• Represent the Voice of the Provider
• Maintain a strong understanding of provider challenges, market trends, and competitive solutions.
• Help shape messaging, educational resources, and clinical content that resonates with healthcare professionals.
• Act as a clinical ambassador for Fullscript in the marketplace.

Clinical Advisor supporting healthcare providers in integrating Fullscript's platform

Senior Clinical Advisor – Enterprise

Clinical Advisor supporting healthcare providers in integrating Fullscript's evidence-based solutions. Building relationships, delivering education, and driving adoption across practices and health systems.

Clinical Advisor jobs in United States