Managed Care Resident – Express Scripts – Remote (Health Plans), Veteran Jobs

Job Description

Location: Virtual with occasional travel

Application Deadline for this position is 12/31/2024

Job Description

The Pharmacy Graduate will participate in a 12-month post-PharmD training program. The Graduate will gain clinical perspective of the roles and responsibilities of a leading PBM supporting health plan clients. The program will focus on learning to execute on a health plan’s clinical strategic goals, while driving improved clinical and financial outcomes for their members. The graduate will also support clinical strategies for regulated market health plans, tailoring clinical strategy to meet the needs of payers within this complex regulatory environment.

Our ESI Health Plan Division (HPD) residency is a holistic program that provides resident a great foundation in managed care, with a focus in clinical strategy within client account management and as a core member of our HPD team. Learning opportunities include: understanding the PBM and health plan relationship, how we service our Health Plan clients, and ways we work together with various cross functional teams in order to meet and exceed our clients’ needs and goals. The resident will engage in multiple different projects and presentations that support our clients, account teams, and overall HPD team. The program prepares the resident for success in a client management role post-residency within our HPD team.

As a resident you will support the following activities (including but not limited to):

• Pharmacy and Medical Trend Consultation and Execution
• Holistic clinical solution opportunities
• Formulary, Utilization Management, and Rebate opportunities
• Support of the above across all lines of business for multiple clients

Rotations

• Orientation (focused)
• Research (longitudinal)
• Formulary Strategy I – Commercial (focused)
• Pharmacy & Medical Trend Consultation (longitudinal)
• Clinical Solutions (focused)
• Medicare 101 (focused)
• Formulary Strategy II – Medicare (focused)
• Formulary Strategy III – HIX & Medicaid (focused)

Minimum Requirements:

• 4th year (Graduation year) or PharmD. degree from an ACPE-accredited college or school of pharmacy
• Pharmacy Licensure in any US State (within 90 days of residency start)
• Proficiency in Microsoft office, specifically Microsoft excel and PowerPoint
• Proficiency in written and verbal communications
• Strong career interest in Managed Care pharmacy
• Required: Please upload or email per instructions for each:
• CV – Upload/attach to Workday application.
• Letter of Intent (max 300 words; Explain why you are interested in our program and managed care) – Upload/attach to Workday application
• Official Pharmacy School Transcript – Email to [email protected] . Please include candidate name in subject line.

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 hourly rate of 21 – 36 USD / hourly, 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 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: [email protected] for support. Do not email [email protected] 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.
Accommodations will be made available for all who need them, including Veterans.