Clinical Program Advisor
New
T
The Cigna GroupPharmacy benefits
United StatesFull-Time
SalaryAnnual salary of 95,500 - 159,100 USD / yearly
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Job Details
- Required Skills
- Project ManagementMicrosoft AccessMicrosoft ExcelMicrosoft Office
Requirements
- Hold a current U.S. pharmacist license.
- Have a Pharm.D.
- Have strong project management skills and the ability to manage multiple tasks, prioritize, and resolve complex issues.
- Be proficient with Microsoft Office, with a strong understanding of Excel and Access.
- Be able to learn multiple internal reporting and analytic tools for client management.
- Demonstrate analytical and critical thinking, organizational skills, and effective written and verbal communication.
- Demonstrate leadership skills, a team-oriented approach, proactive management, and commitment to client service.
- Medicare experience is preferred but not required.
- Experience in managed care, the PBM industry, or pharmaceutical sales is preferred.
- Knowledge of the PBM, managed care, or value-based healthcare industry is desirable.
Responsibilities
- Act as a subject matter expert in areas relevant to the team.
- Lead, coach, and mentor team members.
- Partner with internal and external stakeholders and advise clients on clinical benefit requirements.
- Lead strategic projects to improve operating effectiveness and drive change.
- Identify business improvement opportunities using data, feedback, and analysis.
- Capture and document clinical benefit requirements in collaboration with business stakeholders.
- Coordinate with internal partners and specialized teams to vet and communicate the implications of requested requirements.
- Manage and track client requests to ensure timelines are met.
- Develop project plans and lead their execution and delivery for assigned clients.
- Develop an understanding of claims adjudication systems and associated clinical applications.
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