Clinical Pharmacist - Remote - MyMatrixx (Clinical Operations - Workers Compensation)

Clinical pharmacists: this role ensures the injured workers are receiving the right care through the appropriate clinical intervention method. Responsible for collaborating with cross functional clinical experts to make recommendations and ensure alignment on intervention direction, enhancements, and effective outcomes.

• Key Functions
  • Assessing prescription appropriateness by reviewing patient medical history, drug interactions, and potential adverse effects to identify potential medication issues and recommend adjustments
  • Utilizing data analytics to identify trends in medication usage, potential drug safety concerns, and opportunities for cost savings
  • Collaborating with healthcare providers to educate them on appropriate medication use, including clinical guidelines and drug interactions
  • Review medication requests from providers to determine if medication should be dispensed or not
  • Developing and monitoring quality metrics to ensure adherence to clinical standards and patient safety
  • Participate in formulary development and maintenance
  • Manage clinical programs including, but not limited to  market strategy, product direction, clinical design, outcomes, reporting and support new product development
  • Contribute to the strategic direction for core standard clinical products and services, inclusive of criteria development, clinical rule design and program outcomes

• Skills/Requirements
  • Strong communication (both verbal and written) and collaboration skills
  • Bachelor of Pharmacy or Doctor of Pharmacy from a college of pharmacy accredited by the Accreditation Council for Pharmacy Education (ACPE)
  • Current active pharmacy (RPh) license in good standing
  • Excellent analytical and critical thinking skills to evaluate clinical data and make informed medication decisions
  • Effectively manage expectations of multiple stakeholders
  • Workers Compensation experience required

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 120,000 - 200,000 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 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 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.