Clinical Pharmacist (35611507) - The Cigna Group

This is a temporary contract opportunity with The Cigna Group through Magnit, an enterprise third-party vendor for contingent work. 

Position Notes:

• M-F 8am - 5pm est

Responsibilities:
• Evaluate Client clinical rules and policies for Manufacturer Rebate eligibility. Ensuring assessment is timely and accurate. Ensure client eligibility is appropriately assigned and submission to FRP rebate system is in proper format for invoicing.
• Work cross-functionally with Pharma Contracting, Clinical Account Executives and Pharma Invoicing to ensure appropriate interpretation of clinical rules and impacts on rebated drug products.
• Consolidate clinical rules with impacts to rebate drug products to a single list of assigned ids for upload and utilization within the FRS rebate system, where applicable.
• Develop and document appropriate policy and procedures for analysis and appropriate determination of client eligibility for rebate enhancement and exclusion options. Continually update documents as processes change and review at a minimum on an annual basis.
• Work with externally adjudicated clients to assess custom formulary rules not housed within Express Scripts systems for determination of rebate eligibility. Work as a liaison in support of these clients to assist in appropriate benefit decisions to maximize rebate opportunities.
• Evaluate all Express Scripts clients, both full service and externally adjudicated on an annual basis to determine level of control designation: open, controlled, closed. Prepare appropriate documentation for loading to FRP rebate system. Evaluate new clients throughout the year for determination of level of control and assure appropriately relayed to FRP system. 

Qualifications:
• B.S. Pharmacy or PharmD
• 2-4 years of benefit analysis in PBM industry. CAE or CPM experience a major plus.
• Pharmacist License required
• Excellent PC skills including Microsoft Office with a high degree of proficiency in Access and Excel required. Familiarity with SQL would be considered a strong plus.
• Excellent problem solving, and communication skills required. Must be able to work under pressure and perform continual follow up in a timely manner in order to meet tight deadlines.

Qualifications:
• B.S. Pharmacy or PharmD
• 2-4 years of benefit analysis in PBM industry experience a major plus.

Hourly Pay Rate Range (dependent on location, experience, expectation)
The pay range that Magnit reasonably expects to pay for this position is: $40.00-$50.00/hr
Benefits: Medical, Dental, Vision, 401K (provided minimum eligibility hours are met)