JOB DESCRIPTION
The Clinical Account Executive (CAE) position is an exciting opportunity for a pharmacist who is looking to leverage their pharmacy and healthcare expertise to meet the Health Plan client’s strategic goals and drive improved clinical and financial outcomes for their membership. In this role the CAE will use their deep understanding of the pharmacy/healthcare landscape and pipeline, as well as strong clinical, analytical, financial, and business skills to develop and present a comprehensive strategy aligning and supporting to the client’s strategic goals. The strategic plan should address critical business metrics such as member and client satisfaction, clinical support and clinical solution program adoption – with a goal to deliver lower healthcare costs and optimal clinical outcomes. The CAE independently manages a book of moderately complex clients requiring this role to think forward into the future as the healthcare landscape continues to evolve, be comfortable with a wide variety of data elements, have an ability to draw insights from that data while being member-centric and promoting an optimal patient experience. They must serve as the client’s gold-standard clinical resource and be knowledgeable of new clinical innovations that are occurring beyond medications, including digital health innovations and new healthcare delivery models. They will partner with the Health Plan’s Pharmacy Director, Medical Director and clinical staff to provide a comprehensive management plan. They are the client’s healthcare consultant and expert and are responsible for providing comprehensive management of clinical strategies, initiatives, and new clinical solution adoption in order to meet the client’s and ESI’s common goals.
ESSENTIAL FUNCTIONS:
Leads (and partners with Account Executive) the adoption of clinical solutions to clients through consultative sales methods (e.g. client P&T presentations, quarterly/annual business reviews, presentation of modeling/reporting ,etc.) in accordance with client business goals and upon collaboration and coordination with account management & internal team members.
Leads custom formulary management recommendation discussions with client aligning internally with enterprise formulary operational best practices and goals. Partners with Account Executive, and internal Finance & Formulary Teams to manage rebate performance to meet client contractual rebate guarantees, when applicable.
Leads the development, preparation, and presentation of healthcare strategy for each client assigned. Acts in concert with assigned Account Executive and Account Manager to service the health management consultative needs of the client.
Leads clinical client Strategic Planning and Review Consultation (SPARC) meetings. Responsible for retention, client loyalty and maximizing solution sales opportunities within assigned portfolio. Maintains strong client relationships with clients to ensure retention/satisfaction/upsell targets are met.
Shares best practice standards with broader CAE peer audience as well as clients and demonstrates understanding and interpretation of current industry drug trends and how those trends may impact the health plan client’s healthcare benefit. Participation in process improvement initiatives to support the health plan healthcare benefit adapt and innovate to trends in the market.
Engage in client dialogue that addresses the needs of the client and membership while building trust and credibility and becoming a trusted advisor in healthcare benefit success. Provides feedback from clients to internal partners of new product or revenue opportunities.
Functions as primary clinical resource and new solution product expert for the client.
QUALIFICATIONS:
Current U.S. Pharmacist License
Minimum of 3 years licensure experience preferred
2 plus years of Client facing experience preferred
Proficiency in using Microsoft applications
Quick study, high energy, self-starter, approachable, and collaborative
Influential and impactful presentation and communication skills
Strong business acumen
Flexibility, keen to improve organizational effectiveness
Excellent presentation and client relationship skills needed in order to facilitate upsell of clinical programs and retain clients.
Strong analytical and problem solving skills
Strong focus on book of business client satisfaction and client retention results
Demonstrated ability managing projects, utilizing proven project management processes
Ability to work cross-functionally to proactively communicate and to resolve issues with the highest sense of urgency.
Must have the ability to work on multiple tasks, prioritize, resolve complex issues, and have strong project management skills.
Ability to learn multiple internal reporting and analytic tools for client management.
Ability to travel overnight up to 15%.
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.
This role is also anticipated to be eligible to participate in an incentive compensation 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 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 [email protected] 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.
