Clinical Program Senior Manager - Express Scripts - Remote (Commercial Formulary Solutions)

Clinical Program Sr. Manager – Commercial Formulary Solutions

JOB PROFILE SUMMARY

The Sr. Manager, Formulary Solutions is a dynamic role responsible for assisting with the strategic formulary development and maintenance of our Express Scripts standard Commercial formulary offerings as well as overseeing Marketplace Formulary consultation. An emphasis will be placed on, but not limited to, creating financial models to evaluate optimum formulary value within clinical guidance as well as leading marketplace formulary consultation training and development program. This role will work cross-functionally with Pharma Contracting, Sales & Account Management, Regulated Markets, and Finance partners.

ESSENTIAL FUNCTIONS:

• Collaborate with our Institute for Clinical Guidance and Oversight in conjunction with Pharma Contracting & Strategy partners to identify strategic formulary opportunities, requiring expertise in contract interpretation
• Oversee the strategy and review of the Sr. Advisor/Advisor’s financial formulary modeling and help support department training needs, including content development as necessary
• Provide expert standard Commercial formulary modeling and present recommendations to Value Assessment Committee
• Provide consultation and clinical perspective on complex rebate modeling formulary matters
• Create and lead marketplace consultative formulary support model, including content development for onboarding and benchmark reporting analysis and interpretation
• Ensures optimization of work processes for modeling needs of the standard Commercial formularies to achieve department goals
• Create and deliver internal and external presentations for account team trainings, as well as consultant and client meetings
• Support modeling strategies from a clinical perspective (Competitive Product Category, Utilization Management interpretation) and serve as a primary point of contact for modeling tool enhancements.
• Act as a resource to field clinical questions from other formulary consulting team members, as well as cross-functional partners and account teams

QUALIFICATIONS:

• Pharm.D.
• Current active U.S. Pharmacist License
• 4-8 years of pharmacy/ PBM/ Managed Care/healthcare related experience required
• 2+ years of formulary management/development experience preferred
• Leadership experience preferred
• Detail Oriented, Organizational and Analytical skills
• Excellent PC skills – including Excel, PowerPoint and MS Access, experience with database
• Financial or analytical modeling experience
• Familiarity with pharmaceutical rebate contracts and marketplace formularies, a plus
• Proven ability to work in a fast paced – ever changing environment
• Excellent relationship building and cross functional skills
• Ability to travel approximately 10%.

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 124,800 - 208,000 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 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.

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

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