Coverage Review Staff Pharmacist - Remote

– Staff Pharmacist, Utilization Management
This is a Work at Home role - anywhere in the US
Staff Pharmacist – Express Scripts Coverage Review Department (CRD)
Responsibilities :
Supports the Coverage Review Department (CRD) as a clinical resource for drug therapy questions
Applies critical thinking to achieve proper clinical decisions when performing clinical reviews
Utilizes multiple systems and other clinical resources to achieve proper decisions in Utilization Management reviews
Works and maneuvers within a queue system that prioritizes clinical reviews
Makes clinical decisions quickly and at times decides and acts with limited information
Works and collaborates with a multi-disciplinary clinical team to provide a customer centric experience
Qualifications :
Licensed Pharmacist required
Bachelor’s Degree in Pharmacy required; PharmD preferred
5+ years of clinical pharmacy experience
Proficient technical skills utilizing Microsoft Office applications required
Utilization Management experience preferred, but not required
Experience with Specialty Pharmacy/Pharmaceuticals preferred
2+ years lead/supervisor or retail pharmacy experience preferred
Class Start Date: 6/5/2023
Schedule - Monday - Friday - 9:30am - 6pm local time; 4th Saturday rotation
Training Schedule: 6 weeks - Monday - Friday 9:00am-5:30pm EST
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 hourly rate of 48 - 81 USD / hourly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure. That’s why 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) 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 Life at Cigna Group .
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 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.