Senior Director Clinical Strategy - Express Scripts - Hybrid (Prime Therapeutics) - The Cigna Group
Bloomfield, CT
About the Job
Job Description
The Senior Director, Clinical Consulting serves as a clinical strategy leader and trusted advisor for Prime Therapeutics within the clinical account management function of the Strategic Markets Sales & Account Management Division. This role requires a combination of strong clinical background, knowledge of industry trends and drug pipeline insights with business acumen and financial analytical skills to identify and execute upon a strategic plan that aligns with Prime’s clinical goals and objectives.
Additional responsibilities include clinical team leadership and development, acting as one of the primary points of contact for Prime’s clinical and formulary-related initiatives, financial/rebate impact assessments to evaluate utilization management strategies, overseeing ongoing formulary maintenance and new formulary implementations and reviewing prospects for clinical program adoption.
ESSENTIAL FUNCTIONS
+ Support both the account team and Prime with formulary and utilization management strategies to service all current and future client needs.
+ Lead and support the execution of clinical consulting team functions, including custom formulary maintenance, utilization management policy review, formulary consulting and financial analysis.
+ Lead Centralized Business Analyst Support (CBAS) team functions to oversee formulary implementation, maintenance, and coding, which also includes coordination with the client for all implementation-related activities.
+ Develop, prepare, and present clinical business strategies (formulary, utilization and/or health management strategy, support for client P&T and Business Committee meetings)
+ Act in concert with the Account Management team to service all needs of Prime.
+ Provide clinical oversight and project management to the business division, developing tools and trainings for carrying out work plan goals, including continuous process improvement activities.
+ Lead, develop, and coach clinicians and analysts to continuously expand and improve processes
+ Represent the business division as a point of contact for various corporate initiatives.
QUALIFICATIONS
+ B.S. in Pharmacy, Doctor of Pharmacy
+ Current U.S. pharmacist license
+ 9 - 11 years general pharmacy experience (4+ managed care or clinical account management), 12+ years relevant work experience
+ Must have proven leadership skills, team-orientation, and a strategic management style, with strong commitment to client service and business division goals.
+ Ability to develop/mentor people.
+ Demonstrated successful and resolution-focused interaction with Sales, Account Management, Pharma Trade Relations and Product Management team.
+ Excellent presentation and communication skills required.
+ Demonstrated experience in handling multiple tasks and ability to prioritize.
+ Demonstrated knowledge of clinical, trend and formulary management programs at level of client, member, and PBM industry
+ Ability to travel.
+ Proficiency in Microsoft applications required.
+ Ability to evaluate current state and analyze possible solutions in business workflow.
+ Detail-oriented with strong organizational skills
This is a Hybrid position (3 days per week in-office + 2 days work at home). A candidate may be based out of any US Cigna Healthcare office and will not be restricted to locations that are listed in this posting.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.
_Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._
_If you require reasonable accommodation in completing the online application process, please email:_ _SeeYourself@cigna.com_ _for support. Do not email_ _SeeYourself@cigna.com_ _for an update on your application or to provide your resume as you will not receive a response._
_The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._
The Senior Director, Clinical Consulting serves as a clinical strategy leader and trusted advisor for Prime Therapeutics within the clinical account management function of the Strategic Markets Sales & Account Management Division. This role requires a combination of strong clinical background, knowledge of industry trends and drug pipeline insights with business acumen and financial analytical skills to identify and execute upon a strategic plan that aligns with Prime’s clinical goals and objectives.
Additional responsibilities include clinical team leadership and development, acting as one of the primary points of contact for Prime’s clinical and formulary-related initiatives, financial/rebate impact assessments to evaluate utilization management strategies, overseeing ongoing formulary maintenance and new formulary implementations and reviewing prospects for clinical program adoption.
ESSENTIAL FUNCTIONS
+ Support both the account team and Prime with formulary and utilization management strategies to service all current and future client needs.
+ Lead and support the execution of clinical consulting team functions, including custom formulary maintenance, utilization management policy review, formulary consulting and financial analysis.
+ Lead Centralized Business Analyst Support (CBAS) team functions to oversee formulary implementation, maintenance, and coding, which also includes coordination with the client for all implementation-related activities.
+ Develop, prepare, and present clinical business strategies (formulary, utilization and/or health management strategy, support for client P&T and Business Committee meetings)
+ Act in concert with the Account Management team to service all needs of Prime.
+ Provide clinical oversight and project management to the business division, developing tools and trainings for carrying out work plan goals, including continuous process improvement activities.
+ Lead, develop, and coach clinicians and analysts to continuously expand and improve processes
+ Represent the business division as a point of contact for various corporate initiatives.
QUALIFICATIONS
+ B.S. in Pharmacy, Doctor of Pharmacy
+ Current U.S. pharmacist license
+ 9 - 11 years general pharmacy experience (4+ managed care or clinical account management), 12+ years relevant work experience
+ Must have proven leadership skills, team-orientation, and a strategic management style, with strong commitment to client service and business division goals.
+ Ability to develop/mentor people.
+ Demonstrated successful and resolution-focused interaction with Sales, Account Management, Pharma Trade Relations and Product Management team.
+ Excellent presentation and communication skills required.
+ Demonstrated experience in handling multiple tasks and ability to prioritize.
+ Demonstrated knowledge of clinical, trend and formulary management programs at level of client, member, and PBM industry
+ Ability to travel.
+ Proficiency in Microsoft applications required.
+ Ability to evaluate current state and analyze possible solutions in business workflow.
+ Detail-oriented with strong organizational skills
This is a Hybrid position (3 days per week in-office + 2 days work at home). A candidate may be based out of any US Cigna Healthcare office and will not be restricted to locations that are listed in this posting.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.
_Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._
_If you require reasonable accommodation in completing the online application process, please email:_ _SeeYourself@cigna.com_ _for support. Do not email_ _SeeYourself@cigna.com_ _for an update on your application or to provide your resume as you will not receive a response._
_The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._
Source : The Cigna Group
