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Job Description
Job Summary:
The Sr. Clinical Account Executive (CAE) position is an exciting opportunity for a pharmacist who is looking to leverage their pharmacy and clinical expertise to meet the Commercial Insurance clientxe2x80x99s strategic goals and drive improved clinical and financial outcomes for their claimants. In this role the CAE will use their deep understanding of the pharmacy/clinical landscape and pipeline, as well as strong clinical, analytical, financial, and business skills to develop and present a comprehensive strategy aligning and supporting to the clientxe2x80x99s strategic goals. The strategic plan should address critical business metrics such as client satisfaction, clinical support and clinical solution program adoption xe2x80x93 with a goal to deliver lower clinical costs and optimal clinical outcomes. This role requires the CAE to think forward into the future as the clinical landscape continues to evolve, be comfortable with a wide variety of data elements, have an ability to draw insights from that data while being claimant-centric and promoting an optimal patient experience. They must serve as the clientxe2x80x99s gold-standard clinical resource and be knowledgeable of new clinical innovations that are occurring beyond medications, including digital health innovations and new clinical delivery models. They will partner with the Clientxe2x80x99s Clinical team, Pharmacy Director, Medical Director and/or clinical staff to provide a comprehensive management plan. They are the clientxe2x80x99s clinical consultant and expert and are responsible for providing comprehensive management of clinical strategies, initiatives, and new clinical solution adoption in order to meet the clientxe2x80x99s and myMatrixxxe2x80x99s common goals.
Essential Functions:
- Leads (and partners with Account Executive) the adoption of clinical solutions to clients through consultative methods (e.g. client P&T presentations, quarterly/annual business reviews, presentation of modeling/reporting ,etc.) in accordance with client business goals and upon collaboration and coordination with account management & internal colleagues.
- Leads custom formulary management recommendation discussions with client aligning internally with enterprise formulary operational best practices and goals. Partners with Account Executive, and internal Finance & Formulary Teams to manage rebate performance to meet client contractual rebate guarantees, when applicable.
- Leads the development, preparation, and presentation of clinical strategy for each client assigned. Acts in concert with assigned Account Executive and Account Manager to service the health management consultative needs of the client.
- Leads clinical client Strategic Planning and Review Consultation (SPARC) meetings. Responsible for retention, client loyalty and maximizing solution sales opportunities within assigned portfolio. Maintains strong client relationships with clients to ensure retention/satisfaction/upsell targets are met.
- Shares best practice standards with broader CAE peer audience as well as clients and demonstrates understanding and interpretation of current industry drug trends and how those trends may impact clientxe2x80x99s clinical results. Participation in process improvement initiatives to support the health plan clinical benefit adapt and innovate to trends in the market.
- Engage in client dialogue that addresses the needs of the client while building trust and credibility and becoming a trusted advisor in clinical outcome success. Provides feedback from clients to internal partners of new product or revenue opportunities.
- Functions as primary clinical resource and new solution product expert for the client.
Qualifications:
- Current U.S. Pharmacist License
- Minimum of 5 years licensure experience preferred
- 4-5 years of Client facing experience preferred
- Proficiency in using Microsoft applications
- Excellent presentation and communication skills required.
- Must have the ability to work on multiple tasks, prioritize, resolve complex issues, and have strong project management skills.
- Ability to learn multiple internal reporting and analytic tools for client management.
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 plan.
We want you to be healthy, balanced, and feel secure. Thatxe2x80x99s why youxe2x80x99ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, youxe2x80x99ll 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 .
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.
