Intern Cigna Prior Authorization Jobs (NOW HIRING)

Location: Bloomington, MN

The Senior Clinical Pharmacist, Drug Evaluation Unit is responsible for developing clinical evaluations and key clinical assessments for new therapies, new indications, and utilization management clinical policies on traditional and specialty pharmaceuticals. This pharmacist will support the provision and documentation of accurate and timely drug information requests and will serve as clinical content expert for consulting with various evaluation and approval committees. The Senior Clinical Pharmacist, Drug Evaluation Unit will be responsible for working cross-functionally with other areas within the Institute of Clinical Oversight and Guidance, as well as other Express Scripts/Evernorth departments, including Formulary Solutions, Product Development, Coverage Review Department, and Account Management to develop new clinical strategies and support of clinical initiatives for both the pharmacy and medical benefit. When appropriate, pharmacists will represent Express Scripts at internal and external meetings based are areas of clinical focus and job responsibilities.

Essential Functions

• Perform literature search, medical guideline review, and retrieval of other necessary information in order to critically evaluate the safety, efficacy and comparative efficacy analysis of the product.
• Provide critical appraisal analysis of the literature and other drug information, including those for similar products, to develop and support clinical recommendations.
• Prepare formal drug evaluation documents (monographs) of new and existing drug products.
• Develop and maintain clinical content for clinical policies and services (e.g., Prior Authorization, Step Therapy, Formulary Exceptions Policies and other clinical programs).
• Present clinical information and evaluation at Clinical Committees.
• Help ensure that clinical coverage policies are accurately reflected in operational application systems.
• Research, develop, and revise therapy class reviews and other clinical documents in support of the formulary development process.
• Communicate clinical information to internal/external customers as needed.
• Serve as a drug information resource including preparation of verbal and written responses to requests for drug information.
• Provide thought leadership and clinical input.
• Help strategize for new clinical programs and evaluation of new clinical information

Qualifications

• Pharm D Degree preferred
• 3+ years general pharmacy experience preferred
• Current Pharmacist License.
• Excellent writing and communication skills required
• Standard Microsoft Office set, advanced research skills.
• Ability to analyze data and make recommendations, synthesize data and clinical information through research.
• Working knowledge of pharmacy practice issues and challenges.

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 128,600 - 214,300 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 and paid holidays. For more details on our employee benefits programs, click here.

About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. 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 seeyourself@thecignagroup.com 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.