Pharmacy Clinical Pharmacist– Clinical Support and Development

This is a Hybrid position (3 days per week in-office + 2 days work at home). Candidates can be based out of any US Cigna Healthcare office and is not limited to locations that are listed in this posting.

Role Summary

This position is responsible for the clinical actions following release of new/existing drug products, evaluating and managing drug utilization review, compound management, and assisting with the development of formulary strategies with clinical program managers. The strategic framework will discover or establish the following utilization management:

• Evaluate success of current UM programs
• Evaluate, review, and improve current clinical programs
• Develop strategic goals surrounding drug utilization review both retrospec tive and concurrent DUR
  
  

Responsibilities

• Review current utilization management strategies to ensure strategies promote affordability and customer experience
• Organize and coordinate with a team of matrix partners and subject matter experts to assess opportunities to create non-condition based clinical programs
• Examine egregious medications/products and coordinate with clinical program directors to provide appropriate clinical recommendations to minimize client and customer cost
• Examine and oversee current compounding management
• Provide clinical subject matter expertise to the release and placement of new medications
• Provide support to the condition based program managers to enhance clinical affordability and total health outcomes
• Evaluate drug utilization review programs to improve clinical outcomes
• Coordinate with stakeholders to respond to RFP inquiries
• Review state and federal mandates to assess for business impact
• Review drug lists on a period basic that align with product offerings to ensure clinical intent is met
• Provide education and training for clinical team (Pharmacy Service Center, Cigna Home Delivery Pharmacy, Medical Management) to communicate clinical strategy and actions and assure consistent execution of class strategy
• Other duties as assigned
  
  

Qualifications

• Bachelor’s Degree in Pharmacy required; PharmD preferred
• Licensed Pharmacist required
• Experience developing end to end Pharmacy Clinical Programs required
• 2+ years experience working in a managed care, health plan, Pharmacy Benefit Management (PBM) organization, or formulary management required
• Solid understanding of evidence-based medicine, interpreting clinical literature, and standards of care required
• Results driven with proven communication, interpersonal and collaboration skills working in a cross-functional and matrixed environment require
  
  

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.

For this position, we anticipate offering an annual salary of 111,900 - 186,500 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group.

About Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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: for support. Do not email 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.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.