Clinical Pharmacist (Cigna) - Medication Therapy Management

Role Summary:

The Clinical Pharmacist assists with the execution of numerous initiatives that improve the quality and effectiveness of drug therapy for Cigna Medicare members. In this role, you will work on a high performing team of professionals across multiple functions and complete comprehensive medication reviews for high risk customers. These reviews include but are not limited to the assessment of drug interactions, therapeutic duplications, renal and hepatic dosing adjustments, evidence-based gaps in care, STAR-related pharmacy opportunities, and medication cost and adherence barriers.

Responsibilities:

• Working collaboratively with multiple stakeholders in order to improve our customer's care coordination and healthcare outcomes
• Responsible for gathering and reviewing pertinent health data from pharmacy claims, medical databases, and internal clinical resources in order to complete comprehensive medication reviews
• Documenting and tracking customer's personalized recommendations in a centralized database
• Participating in quality improvement programs and initiatives driven by business needs
• Understanding the Cigna Medicare suite of Clinical programs, identifying practice opportunities, and integrating the clinical programs and resources into the practice workflows with the intent to optimize the customer experience, quality of care provided, and positively impact resource utilization
• May assist with projects involving utilization management analysis, including but not limited to medication adherence and compliance
• May assist in medication reviews for other Cigna Medicare clinical programs as needed
• Handles phone inquiries from physicians, the clinical staff, and Cigna members

Education:

• Licensed Pharmacist required (bachelor's degree in pharmacy or PharmD preferred)
• Residency or Board Certification preferred

Skills:

• Medication knowledge
• 3+ years' experience in Pharmacy Managed Care and/or Medicare/Medicaid preferred
• MTM experience preferred
• Experience working with MTM applications (ex: Adhere Health's optimize) preferred
• Excellent verbal and written communication skills
• Bilingual in English and Spanish strongly preferred
• Proficient technical skills utilizing Microsoft Office such as Word, Excel, PowerPoint, and Outlook
• Computer literacy- will work with several different computer applications simultaneously
• Strong learning agility and ability to apply concepts quickly
• Strong problem solving and decision-making skills
• Ability to develop innovative solutions to complex healthcare issues

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.

For this position, we anticipate offering an annual salary of 111,900 - 186,500 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus 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 Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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: SeeY[redacted] for support. Do not email SeeY[redacted] 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.