JOB SUMMARY:
Provides counsel and advice to top management on significant Program Management matters, often requiring coordination between organizations. Supports the delivery of a strategic program representing a major company initiative by providing central expertise, governance, and control within or independent of a formal Program Management Office (PMO). Responsible for planning, organizing, and controlling resources/processes to achieve project/program objectives within scope, time, quality, and budget constraints. Manages large cross-divisional or company-wide programs or processes. Interprets internal or external issues and recommends solutions/best practices. Solves complex problems; takes a broad perspective to identify solutions. May lead functional teams or projects. Focuses on providing thought leadership and technical expertise across multiple disciplines. Recognized internally as “the go-to person” for the most complex Program Management assignments.
ESSENTIAL FUNCTIONS:
- Provide consultation and through rebate contract interpretation and strategic opportunity identification.
- Mentor Advisors and Lead Analysts to help support department training needs.
- Meet directly with large and most complex custom clients to review modeling and cultivate relationships with Formulary Decision Makers (i.e. Pharmacy Directors, VP’s, etc.).
- Evaluate client data, create scenarios, and provide expert formulary modeling and guidance for existing clients in alignment with department strategic objectives that drive value to both clients and ESI.
- Collaborate with Clinical Account Executives to create strategy for Custom Clients based on formulary scenarios, rebate offerings, and modeling options.
- In collaboration with Clinical Account Executives discuss with clients any potential utilization management programs under evaluation to ensure that all modeling and requirements of these programs are accurately represented and in alignment with Pharmaceutical rebate contract.
- Analyze the financial impact of client requested formulary changes to both the client and Express Scripts.
- Create presentations for client formulary strategy and/or consulting meetings including all supporting documentation.
- Strategize with cross-functional areas of Express Scripts, including but not limited to Account Management, Pricing, Product, Finance, and New Sales.
- Lead interdepartmental team calls as required to discuss rebate invoicing eligibility terms/conditions.
- Effectively document and communicate formulary analysis projects. (i.e., model maintenance and QC).
- Ensures optimization of work processes for formulary modeling strategies and achievement of department goals.
QUALIFICATIONS:
- Bachelor's degree, Finance, Healthcare or related area/MBA a plus.
- 3-5 years relevant work experience.
- Strong Leadership, Detail Oriented Organizational, and Analytical skills.
- Excellent PC skills – including Excel, PowerPoint and MS Access, experience with database.
- Financial modeling experience.
- Familiarity with pharmaceutical rebate contracts 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%.
This is a Hybrid position (3 days per week in-office + 2 days work at home). The incumbent candidate can be based out of any US Cigna Healthcare office and is not restricted to locations that are listed in this posting.
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.
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