Program Management Advisor/Clinical Program Advisor - Express Scripts - Hybrid (Supply Chain)

The Cigna Group
Franklin Lakes, NJ
Full-time

POSITION SUMMARY

The Program Management Advisor works closely with the Program Management Senior Manager to provide financial rebate modeling support to assigned clients.

Under general supervision, plans, coordinates and implements financial and business processes to support and enhance the client formulary rebate optimization.

Position will have responsibilities related to rebate modeling forecasts, Pharmacy & Therapeutics Committee meetings, Annual Formulary Summit meetings as well as any ad hoc modeling requests.

This position will be responsible to compile, interpret, and analyzes data. Works in collaboration with Formulary Consulting Leadership to provide strategic opportunities to maximize value for clients and Express Scripts Supply Chain Organization.

ESSENTIAL FUNCTIONS :

  • Meet directly with client account teams and clients on a regular basis in order to utilize financial models to evaluate the rebate and cost impact of implementing existing and potential (new) client formularies
  • Discuss with client / client teams any potential utilization management programs under evaluation to ensure that all modeling and requirements of these programs are accurately evaluated and communicated to Pharmaceutical partners
  • Analyze the financial impact of client requested formulary changes to both the client and Express Scripts
  • Create and deliver presentations for client meetings including all supporting documentation for moderate complexity clients.
  • Coordinate internal prep meetings with participation from various areas of Express Scripts, including but not limited to Sales & Account Management, Pricing, Invoicing, and Pharma Strategy and Contracting
  • Provide analytic support for rebate contact negotiations
  • Develop and execute formulary modeling for moderate to complex prospect clients and client renewals with strategy guidance from manager and in close partnership with other business partners and key stakeholders
  • Interact closely with other areas of Pharma Strategy and Contracting department to ensure all manufacturer contract terms are correctly reflected in all models
  • Improve on existing systems and procedures to effectively document and communicate formulary analysis projects. (including maintaining and revising existing financial models)

QUALIFICATIONS :

  • Bachelor's degree, Finance or related area / MBA a plus
  • Licensed Pharmacist, will be considered, Pharm- D a plus
  • Bachelor’s degree in related field or 5 to 8 years of experience or Master’s degree with 3-5 years relevant experience
  • Strong, detail oriented organizational and analytical skills
  • Excellent PC skills including Excel, PowerPoint and MS Access
  • Financial analysis or modeling experience
  • Proven ability to work in a fast paced ever changing environment
  • Excellent relationship building and cross functional skills
  • Travel up to 10%
  • 30+ days ago
Related jobs
The Cigna Group
Morris Plains, New Jersey

In collaboration with Clinical Account Executives, discuss 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. The Risk & Underwriting Adviso...

Promoted
Photon
Parsippany-Troy Hills, New Jersey

The ideal candidate will have a strong background in program management, excellent leadership skills, and a deep understanding of digital platforms. Stakeholder Management: Engage with stakeholders at all levels, including senior executives, to ensure clear communication, alignment, and support for ...

Promoted
Internal Revenue Service
Parsippany-Troy Hills, New Jersey

Knowledge of management techniques, methods, theories, principles, and labor relations concepts to assure optimum utilization of personnel, equipment and space and to accomplish program objectives through combined analytical technical and administrative oversight. Knowledge of the principles of proj...

The Cigna Group
Morris Plains, New Jersey

This role resides within the Infrastructure Governance Strategy/Vulnerability Management (IGS/VM) team supporting overall Global Infrastructure teams. In addition to performing assessments the role requires active participation in the vulnerability management process, collaborating with key stakehol...

Cigna
Bloomfield, New Jersey

If you're lo okin g to add value, make an impact, and use strong analytical and math skills in a fast-paced environment, starting your career within the Risk Management & Underwriting Leadership Development Program (RULDP) will allow you to do all this and more. RULDP associates begin to shape their...

The Cigna Group
Morris Plains, New Jersey

The strategic plan should address critical business metrics such as member and client satisfaction, clinical support and clinical solution program adoption – with a goal to deliver lower healthcare costs and optimal clinical outcomes. They are the client’s healthcare consultant and expert and are re...

Cigna
Morris Plains, New Jersey

Responsibilities * Provides counsel and advice to top management on significant Data Management Strategy & Governance matters, often requiring coordination between organizations. Knowledge of Cigna/Evernorth lines of business or products;and/or hands on experience with data management (med...

Teva Pharmaceuticals
Parsippany-Troy Hills, New Jersey

As the IT SHM (Stakeholder Management) lead specialist in the clinical supply chain, you will play a crucial role in fostering positive relationships with stakeholders, ensuring effective communication, and addressing their needs. You will be responsible for analyzing new needs and requirements, wit...

Cigna
Bloomfield, New Jersey
Remote

Responsibilities: * Completion of the care management summary for High-Cost Claimant reporting, following corporate guidelines * Research and presentation of findings to support the Market Medical Executive / Clinical Consultant to facilitate timely problem resolution *...

BD
New Jersey,USA

This position is hybrid in Vernon Hills, Illinois three days per week. Responsible for the management of the sales pipeline and monthly forecasting of the business. Self-motivated, attention to detail, strong problem-solving and time management skills. Our Total Rewards program — which includes comp...