POSITION SUMMARY
The Clinical Senior Director will provide overall clinical leadership for the Health Plan Division. This leader is accountable for driving client value related to health plan clients’ medical and pharmacy spend and trend, comprehensively. The position is charged with creating, executing, and maintaining Clinical Account Executive (CAE) client engagement strategies that empower CAEs to work in a highly consultative member-prescriber-client-focused approach. This approach leverages benefit management that optimizes patient and payer outcomes through current and new innovative solutions. In doing so, they will lead clinical strategy and collaborate with key partners in Sales, Enablement, Product, and Account Management teams to guide Clinical Vertical and Health Plan division strategy. This includes representing the division and client needs across segments such as clinical operations, clinical product, and supply chain.
ESSENTIAL FUNCTIONS
- Lead all clinical strategy for the division and collaborate with critical partners to oversee the advancement and total clinical success for health plan clients.
- Oversee perpetual Clinical Account Executive optimization.
- Lead, develop, and coach Clinical Directors to achieve top clinical performance across the clients and clinicians they support.
- Support Health Plan Division’s books of business to achieve elevated levels of client satisfaction, retention, clinical innovation, and performance.
- Lead the way in identifying and solving for critical issues. This includes leading task forces with cross-functional partners with focus and strong execution.
- Provide quantitative data reflecting the scope and impact of the job – such as budget managed, sales/revenues, profit, clients served, adjusted scripts, etc.
- Create, execute, and maintain a scalable infrastructure that provides a consistent, repeatable, client experience and improved outcomes.
QUALIFICATIONS/ SKILLS
- Bachelor of Science in Pharmacy; Doctor of Pharmacy and advanced degrees or pharmacy residency preferred Current U.S. Pharmacist License
- 9 - 11 years general pharmacy experience (4+ managed care and sales), 12+ years relevant work experience
- Excellent verbal and written communication skills required.
- Must have proven leadership skills, team-orientation, and a strategic management style, strong commitment to client service and business division goals.
- Ability to develop/mentor people; Demonstrated successful and resolution-focused interaction with Sales, Account Management, Pharma Trade Relations, and Product Management team.
- Strong presentation and sales skills Demonstrated experienced handling multiple tasks and ability to prioritize; proven ability to function under stressful situations.
- Demonstrated knowledge of clinical, trend and formulary management programs at level of client, member, and PBM industry.
- Ability to travel; typically, this role travels once a month for around 2-3 nights.
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.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
This role is also anticipated to be eligible to participate in an incentive compensation and long term incentive plan.
We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group.
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.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
