Remote Prior Authorization Representative Express Scripts Jobs in Pennsylvania

POSITION SUMMARY:

The primary role of this position is to strategically manage supply chain initiatives associated with strategic accounts. The role will be key in driving strategy, which will include targeting specific opportunities, involving critical parties, evaluating impact, developing recommendations, and socializing and gaining senior leadership support. This includes rebate alignment and strategy, formulary management strategies, pharmacy network management, value-based solutions, and other initiatives.

ESSENTIAL FUNCTIONS:

• Drive evaluation, development and execution of supply chain drivers.

• Partner cross functionally to educate, influence and operationalize initiatives to achieve growth objectives.

• Financial tracking of supply chain initiatives, performance guarantees and contract compliance.

• Develop and execute strategies that drive additional aligned value.

• Work cross-functionally to resolve issues and generate results among potentially conflicting constituencies.

• Guide and persuade towards specific deliverables within an environment of tight deadlines and significant pressure.

• Handle complex analysis from issue identification to proposal of potential solutions.

• Understand how value is derived in supply chain and what the impact will be as decisions are analyzed and determined.

• Evaluate data and drive action to create additional value.

• Promotion of enablement and efficiencies across the teams.

• Support account team in maintaining positive client relations.

• Project management as needed.

IDEAL CANDIDATES WILL HAVE A COMBINATION OF THE FOLLOWING:

• Bachelor's degree, MBA preferred.

• 5+ years of healthcare and PBM experience with knowledge of supply chain.

• Advanced problem solving skills with the ability to work cross-functionally to resolve issues and generate results among potentially conflicting constituencies.

• Strong business, financial, analytical and organizational skills.

• Executive presence and strong negotiation and presentation skills.

• Project management as needed.

• Track record of successful business and program operations.

• Excellent communication skills, including presentations and negotiations.

• Ability to handle complex analysis from issue identification to proposal of potential solutions.

• Demonstrated ability to evaluate financial data and drive action to create additional value.

• Strong business, financial, analytical and organizational skills.

• Strong organizational skills.

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 130,100 - 216,800 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 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 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.