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It strategy director pharmacy

Cigna
Nashville, Tennessee, US
Full-time

The job profile for this position is IT Strategy Director, which is a Band 5 Management Career Track Role. Excited to grow your career?

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Role Summary

This leadership role will bridge the gap between technology and our Pharmacy business and vendor partners ensuring we maintain a high level of technology collaboration and oversight with MAPD and PDP lines of business.

The Director will be the leadership point of contact for all pharmacy related technical initiatives and serve as the trusted advisor for pharmacy stakeholders.

Responsibilities

  • Oversight and responsibility for relationship development with Pharmacy leadership and stakeholders.
  • Provider leadership in managing the team and projects, working across multiple internal technology teams closing the gap between technology and the Pharmacy business.
  • Serve as the technical trusted advisor to Business and Pharmacy Executive Stakeholders and collaborate in business case development and roadmap planning.
  • Serve as liaison between Pharmacy stakeholders within the vertical and operations ensuring all performance issues are appropriately escalated and resolved through process improvements.
  • Stay abreast of federal and state laws that pertain to Medicare Advantage, Employer Group and Part D.
  • Identify opportunities for ongoing program enhancement using automation, data governance, and advanced technical tools.
  • Provide performance and trends to business leaders to ensure goals and objectives are met.
  • Maintain strong connections and communications with key contributors, ensuring they understand the vision, approach and status of Pharmacy project initiatives.
  • Assesses current technology assets and collaborate with architects to rationalize existing pharmacy tools and explore pharmacy partnerships.
  • In collaboration with stakeholders, ensures teams have necessary budgets, resources, approvals, and other support.
  • Communicates regularly with key compliance Stakeholders to collect and share feedback.
  • Ensures Pharmacy business owners are engaged and supportive of direction. Builds and maintains relationships with stakeholders to stay abreast of business and technical team needs.
  • Resolves issues escalated by teams and continually optimizes teams and processes.
  • Communicate to senior leaders about strategy direction and changes.
  • Maintains knowledge of current trends and developments in the managed care field.

Competencies

  • Analytical Ability
  • Dealing with Ambiguity
  • Communicates Effectively
  • Instills Trust
  • Strategic Mindset
  • Drives Vision and Purpose
  • Manages Complexity
  • Drives Results & Engagement

Qualifications

  • Strong background in both Medicare and Medicare Part D compliance and technology.
  • Experience with Pharmacy Benefit Managers.
  • Experience working in Agile / SCRUM software development organizations.
  • Excellent analytical and problem-solving skills, with the ability to interpret complex regulatory requirements and develop practical solutions.
  • 10 years of experience with Pharmacy data management, data governance and data quality.
  • 10 years' experience in compliance technical support, specifically in the Medicare Advantage, Duals and Part D health care industry.
  • 5+ years' experience working with Government Business Healthcare Solutions highly desired.
  • Experience scoping complex projects / programs and driving through to completion.
  • Bachelor's degree required.
  • Strong leadership qualities.
  • Excellent analytical, critical thinking, and problem-solving skills with high attention to detail required.

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2 days ago
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