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Cigna - Bloomington, MN

posted 2 months ago

Full-time - Senior
Hybrid - Bloomington, MN
Insurance Carriers and Related Activities

About the position

The Clinical Senior Director will provide overall clinical leadership for the Health Plan Division at The Cigna Group. This role is responsible for driving client value related to health plan clients' medical and pharmacy spend, creating and executing client engagement strategies, and leading clinical strategy in collaboration with various internal teams. The position aims to optimize patient and payer outcomes through innovative solutions and ensure high levels of client satisfaction and retention.

Responsibilities

  • 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.
  • Identify and solve for critical issues, 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.

Requirements

  • 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.
  • 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 experience handling multiple tasks and ability to prioritize.
  • Proven ability to function under stressful situations.
  • Demonstrated knowledge of clinical, trend and formulary management programs at the level of client, member, and PBM industry.
  • Ability to travel; typically, this role travels once a month for around 2-3 nights.

Benefits

  • Comprehensive health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
  • 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.
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