Clinical Program Manager - Evernorth - Remote (Clinical Operations Support & Custom Services)
Core
Lead clinical program operations, custom client implementations, and specialty programs for pharmacy benefit management and clinical services.
Role type
Senior Clinical Program Manager (Operations & Custom Services)
Builds
Sustainable operational solutions, custom client support models, and specialty program implementations for pharmacy benefit management.
Domain
Healthcare / Pharmacy Benefit Management / Clinical Operations
Required skills
Pharmacy degree (BSPharm/PharmD), active pharmacist license, 5+ years healthcare/pharmacy benefit management experience, 2+ years leadership experience, project management, process optimization, stakeholder influence, Microsoft Office proficiency
Preferred skills
Experience with DCRS/CRS/FRS/Polaris/FIT clinical configuration systems, specialty pharmacy program support, offshore team management, formulary and utilization management expertise
Technologies
DCRS, CRS, FRS, Polaris, FIT, Microsoft Office (Excel, PowerPoint)
Responsibilities
Lead and develop clinical operations analysts; oversee custom client support and specialty program implementation; drive process optimization and automation; manage operational governance and data quality; support audit readiness and compliance; monitor operational performance and capacity
Seniority
Senior, hands-on IC with leadership responsibilities