Clinical Pharmacy Program Manager
Cigna - Hartford, CT

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Job Description

Role Summary:
Responsible for designing, developing, and implementing clinical pharmacy programs and strategies that are applied across various pharmacy and medical management venues. Works collaboratively with cross functional teams and a broad set of matrix partners to ensure timely execution of deliverables..

  • Establishes and maintains expert understanding of key clinical, cost, and emerging practice trends
  • Establishes strategic plan to achieve competitively superior health improvement value
  • Establishes ongoing workplan that continually enhances existing activities related to key clinical conditions and pharmacy practices.
  • Identifies, develops, and implements new actions that enhance Cigna's pharmacy management and health improvement value
  • Engages with product and account management to ensure development solutions meet current and anticipated market needs
  • Establishes practical, executable, measurable, and financially viable plans of intervention, including relevant reporting capabilities that strengthen evidence-based medicine performance
  • Documents plans of intervention in a concise manner which focus on those interventions to drive clinical and business outcomes
  • Coordinates and incorporates cross-functional expertise to create the most effective solutions possible
  • Coordinates and incorporates financial/economic expertise to ensure high ROI solutions
  • Applies and integrates effective intervention strategies across a broad array of POS, retrospective DUR and medical management capabilities
  • Serves as an expert resource to sales and market interfaces within assigned area, ensuring that sufficient information is available to effectively communicate in-force value and strategic direction.

Minimum Requirements:
  • Minimum 5 years experience in the healthcare industry, with focus on health insurance and/or pharmacy benefit management
  • Clinical degree required (RPh, PharmD); MBA desired but not required
  • Proven capabilities in strategic planning and large-scale project management including developing, planning, executing, and measuring program results.
  • Proven program implementation skills
  • Demonstrated ability to work in a highly matrixed environment
  • Written/verbal proficiency

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Cigna is a global health service company, dedicated to helping the people we serve improve their health, well-being and sense of security....