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100% Remote Case Manager
TEKsystems
Morrisville, NC
- $21 to $22 USD / hour
Job DescriptionThe Case Manager will serve as an expert in benefit coordination and patient support, managing interactions with healthcare providers, patients, and specialty pharmacies. In…
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Lead Technical Program Manager (Director level, individual contributor)
Company 19 - John Hancock Life Insurance Company (U.S.A.)
Boston, MA
The Lead (Director level) Technical Program Manager (TPM) will be the lead point of contact on assigned initiatives that require delivery of end-to-end technology solutions. The TPM will…
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Chaplain
UC Davis Health
CA
This position is supervised under the general direction of the Human Services Supervisor and Clinical Operations Manager.
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Manager, Quality
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Operations Manager
Washington CVS Pharmacy, L.L.C
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Operations Manager
CVS Pharmacy, Inc.
Dallas, TX
The Operations Manager is responsible for supporting the Store Manager in the total leadership and strategic operation of a CVS/pharmacy store including:
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LA
Program Manager, School and Teacher
Los Angeles County Museum Of Natural History Foundation
Los Angeles, CA
- $27.43 USD / hour
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Yankee Candle - Seasonal 2nd Assistant Store Manager - North Conway, NH
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Senior Manager, Tax - Omnicare
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GPU Handover Senior Technical Program Manager
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Operations Manager
Woodward Detroit CVS, L.L.C.
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Operations Manager
Woodward Detroit CVS, L.L.C.
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The Operations Manager is responsible for supporting the Store Manager in the total leadership and strategic operation of a CVS/pharmacy store including:
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Director of Global Advocacy
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New York, NY
…reproductive health and rights. Through a unique and interrelated program of high-quality research, evidence-based advocacy and strategic communications, the Institute works to generate new…
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Senior Data Analyst, Research and Advocacy
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Operations Manager
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The Operations Manager is responsible for supporting the Store Manager in the total leadership and strategic operation of a CVS/pharmacy store including:

The Cigna Group

Program Management Advisor/Clinical Program Advisor - Express Scripts (Supply Chain)

St. Louis, MO, United States

$95,500 to $159,100 USD / year

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Job details

Pay: $95,500 to $159,100 USD / year
Experience: 2-4 years relevant work experience in PBM, Managed Care, Healthcare or Finance
Posting language: English
Posted: Nov 2, 2026

Original job description

This is a hybrid position (3 days per week in-office + 2 days' work at home). The incumbent candidate can be based out of any US Cigna Healthcare office. This position is a Hybrid role where the Cigna policy requires office alignment but is not restricted to locations that are identified in this posting.

Program Management Advisor-Supply Chain/Formulary Consulting

JOB SUMMARY:

The Program Management Advisor will provide consultation to custom formulary clients through contract interpretation and rebate financial modeling. In this role, you will have the opportunity to identify strategic opportunities for clients to optimize their formulary to drive value for both internal and external organizations. This position works collaboratively with cross-functional teams and may assist with interdepartmental teams or projects to drive process improvements. Internally recognized and trusted as the formulary rebate modeling subject matter expert.

ESSENTIAL FUNCTIONS:

Provide consultation through rebate contract interpretation and strategic opportunity identification
Meet directly with large and complex custom clients to review modeling and cultivate relationships with Formulary Decision Makers (i.e. Pharmacy Directors, VP’s, etc.).
Evaluate client data, create scenarios, and provide expert formulary modeling and guidance for existing clients in alignment with department strategic objectives
Collaborate with Clinical Account Executives to create strategy for Custom Clients based on formulary scenarios, rebate offerings, and modeling options.
In collaboration with Clinical Account Executives, discuss with clients any potential utilization management programs under evaluation to ensure that all modeling and requirements of these programs are accurately represented and in alignment with Pharmaceutical rebate contract.
Analyze the financial impact of client requested formulary changes to both the client and Express Scripts.
Create presentations for client formulary strategy and/or consulting meetings including all supporting documentation.
Participate in interdepartmental team calls as required to discuss rebate invoicing eligibility terms/conditions.
Effectively document and communicate formulary analysis projects. (i.e., model maintenance and QC).
Ensures optimization of work processes for formulary modeling strategies and achievement of department goals

QUALIFICATIONS:

Bachelor Degree, Finance, Healthcare or related area/MBA a plus
Pharm D a plus
2-4 years relevant work experience in PBM, Managed Care, Healthcare or Finance
Confidence, Detail Oriented Organizational, and Analytical skills
Excellent PC skills – including Excel, PowerPoint and MS Access, experience with database
Must have expertise in Excel
Financial modeling experience
Familiarity with pharmaceutical rebate contracts a plus
Proven ability to work in a fast paced – ever changing environment
Excellent relationship building and cross functional skills
Ability to travel approximately 10%.

ABOUT THE DEPARTMENT

Supply Chain – Custom Formulary consulting combines the coordination and management of the company’s key supplier groups under a single management team. Major suppliers include brand and generic pharmaceutical manufacturers, retail pharmacies and drug wholesalers.

Express Scripts, a leading pharmacy benefit manager with the nation's largest mail order-pharmacy operations, assists its customers to moderate the cost and enhance the quality of prescription drug benefits provided to members nationwide. Its customers include private- and public-sector employers and healthcare organizations.

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 95,500 - 159,100 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.

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More about this job

Skills

Program management
Supply chain management
Financial modelling
Collaboration
Presentation skills
Documentation
Analytical skills
Microsoft Excel
Microsoft PowerPoint
Microsoft Access
Relationship building

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