Cigna Customer Service Jobs in Michigan (NOW HIRING)

This is a Hybrid position.  Candidates based within 50 miles of any US Cigna Healthcare office will be required to work in-office 3 days per week, the other 2 days may be from home if preferred.  Locations listed in this posting are preferred, but all locations within the United States will be considered. 

Pharmacy Clinical Pharmacist– Clinical Program Support

Role Summary:

The Clinical Pharmacist role reports to the Cigna Pharmacy Clinical Program Support team with a primary focus on delivering on clinical research, drug formulary maintenance and regulatory responsibilities aligned to the Cigna Healthcare US Employer formularies.  This role provides clinical expertise and day-to-day support while partnering across a highly matrixed environment of business partners including Formulary Strategy, Clinical Operations, Compliance, Product, Legal, Account Management and others. The position requires strong cross-functional collaboration and acts with a sense of urgency across the enterprise to execute against timelines and deliver outcomes.

Essential Functions : 

• Provide clinical subject matter expertise to the release and placement of new to market medications.
• Providing clinical research support to the formulary strategy leads to enhance clinical affordability and total health outcomes.
• Develop and maintain drug lists that align with product offerings to ensure clinical and regulatory intent is met.
• Provide clinical administrative support to understand and report out drug changes for the Cigna National Preferred Formulary
• Research drug and report out drug data such as pipeline medications, drug shortages and drug discontinuations.
• Prepare summary and audit files due to Pharmacy & Therapeutics Committee and other quality oversight committees. 
• Review and respond to state and federal mandates to assess business impact and educate on formulary structure and benefit set up.
• Coordinate with stakeholders to respond to RFP inquiries.
• Monitor the team email box and respond to stakeholder inquiries about formulary design.
• May be asked to develop and present formulary strategies. 
• Other duties as assigned.

Qualifications:

• Bachelor’s degree in pharmacy required; PharmD preferred.
• Active pharmacist license in any US State.
• 2+ years’ experience working in a managed care, health plan, Pharmacy Benefit Management (PBM) organization, or formulary management.
• Solid understanding of evidence-based medicine, interpreting clinical literature, and standards of care.
• Experience supporting regulatory compliance, quality initiatives, or enterprise clinical programs.
• Results driven by proven communication, interpersonal and collaboration skills working in a fast paced and highly matrixed environment.
• Self-directed, adaptable leader with strong sense of ownership and accountability

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 120,000 - 200,000 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.

At The Cigna Group, 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), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here .

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 need a reasonable accommodation to complete the online application process, please email for assistance.  Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

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.