Pharmacy Clinical Consulting Senior Advisor - Cigna - Remote (Nashville, TN area)

Senior Pharmacy Clinical Consulting Advisor

As part of Cigna Pharmacy Management, the Senior Pharmacy Clinical Consulting Advisor serves as the primary pharmacy benefits subject matter expert supporting Cigna Integrated Pharmacy clients in Mid-Southern Tennessee and surrounding areas.

The Senior Pharmacy Clinical Consulting Advisor is responsible for developing and maintaining relationships with internal stakeholders, including the medical sales teams and pharmacy underwriting organization, as well as external brokers and consultants. The primary objective of this position is to support long-term client retention and growth, while achieving Cigna's corporate strategic goals. The Senior Pharmacy Clinical Consulting Advisor also provides pharmacy products and clinical expertise in support of the Medical Sales teams as well as the Pharmacy Implementation organization.

This position is responsible for working with the Cigna Medical teams to support the Pharmacy component of an integrated benefit, which typically includes Medical, Pharmacy, and Behavioral. This includes service support, reporting, pricing, and/or other performance guarantees while working with multiple internal stakeholders at Cigna and Evernorth, as well as external influencers such as consultants, producers and decision makers in the benefits organization or financial and/or C-Suite of our clients.

Primary Responsibilities:

• Retain assigned book of business through proactive portfolio management, including an understanding of available performance guarantees and pricing strategies to renew clients and preserve earnings.
• Participate in client meetings and presentations to review client performance and sell in the suite of pharmacy management programs and solutions that align to Cigna's overall value proposition of lowering total healthcare costs.
• Act as Pharmacy Sales support for renewals involving consultants.
• Cultivate meaningful, productive, mutually beneficial relationships internally and externally by gaining the confidence and trust of key stakeholders through honesty, integrity and reliability.
• Educate and consistently advance the knowledge of pharmacy within the Cigna Medical sales organization. This includes deep dives in our products and services, as well as championing an understanding of the clinical integration points across benefits.
• Communicate effectively, delivering multi-modal messages that convey a clear understanding of the unique needs of the different audiences requiring interaction. Proactively anticipates communication needs to remove ambiguity.
• Actively participate in finalist meetings for existing business where necessary.
• Gather and share relevant competitive intelligence in support of retention and new sales efforts.
• Acts as the clinical subject matter expert supporting medical sales team or the pharmacy implementation team with escalated pharmacy benefit issues, when necessary.
• Manages complexity, by analyzing and making sense of a considerable volume of sometimes contradictory information to effectively solve problems. Asks the right questions and attentively listens to others.
• Stay abreast of clinical pharmacy practice guidelines, including the new drug pipeline, biosimilars, gene therapies, upcoming patent expirations, etc.
• Facilitate meetings with clients and brokers to resolve service concerns; act as the escalated issue contact for pharmacy issues when contacted by the medical sales teams.
• Support detailed ad-hoc analysis of pharmacy claims utilization to provide clients with proactive consultation, as well as manage follow-up questions that may arise.
• Provide executive support for pricing, audit, and contract questions, as requested by internal partners managing these efforts.
• Translate pharmacy coverage rules and formulary decisions based on Cigna policies with support from Clinical program development partners.
• Any other tasks as defined by management and/or client needs not named above, as required to support our internal and external stakeholders, clients, and partners.

Ideal Candidates Will Have A Combination Of The Following:

• Clinical pharmacy background required; R.Ph. or Pharm.D.
• 5 years or more of Pharmacy Benefit Management (PBM) experience supporting client expectations
• Mid to Large Employer account management experience preferred
• Experience with consultative client management methodologies
• Proven ability to manage through renewal independently with minimal supervision
• Ability to work through the organizational processes needed to support clients (especially those that are clinical in nature, considering exceptions, etc.)
• A self-motivated individual displaying ownership, accountability and responsibility
• Operational understanding and competence with PBM business model
• Understanding the financial and pricing strategy of PBM
• Technical skills using all Microsoft programs
• Ability to travel up to 50% of the time depending on candidate's location with little or no advance notice

Competencies:

• Clinical understanding of PBM space
• Customer Focus
• Organizational Agility
• Network Building
• Verbal & Written Communication Skills
• Presentation Skills
• Financial Acumen
• Negotiation skills
• Executive presence