Advanced Therapies Clinical Program Senior Manager - Evernorth - Hybrid

Job Description

Clinical Program Senior Manager, Gene Therapy Program, Hybrid

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Our people make all the difference in our success.

We have an opening for a Clinical Program Senior Manager who will be aligned to Specialty Injectable Programs with a primary focus of supporting operations of Specialty Pharmacy cost and affordability.

We are seeking a talented Clinical Program Senior Manager who has the profile of a collaborative professional with clinical experience who excels in dynamic, sometimes ambiguous and complex activities by taking ownership, driving action and ensuring results.

Able to take direction and respond quickly to both planned and unplanned activities to ensure results.

Clinical Program Senior Manager Role Summary:

This role reports into the Clinical Care Management (CCM) through EviCore CMO Department who will be responsible for program management, strategy development, and operations specializing within the Gene Therapy and Advanced Cellular Therapy Specialty Injectable Programs.

The role is part of a larger medical specialty injectable team.

The program senior manager will work within a matrix environment collaborating with other leaders, product, contracting, case management, and other internal and external partners across various functional areas and business areas.

The position receives a minimal level of guidance and direction.

The position will include management of direct reports.

Responsibilities


* Strategic planning and program management of pipeline and FDA approved gene and advanced cellular therapies.


* Serves as subject matter expert of gene and advanced cellular therapies including disease treated, mechanism of action, and treatment journey.


* Collaborate with provider contracting partners to ensure strategy and affordability goals are met.


* Medical and trend insights for PMPM impact, utilization projections and trends.


* Manage and deliver customer data for program claims reporting and Embarc Benefit Protection pricing.


* Supports clinical pharmacy analytics for waterfall development, client projections, claims analysis, and value-based agreement opportunities.


* Communication strategies for internal and external facing resources including but not limited to client account teams, sales presentations, education documents for clients and brokers, Participating Provider and Classified Gene and Advanced Cellular Therapy lists.


* Support conception and development of quality designation for gene therapy providers.


* Collaboration and relationship management with manufacturers.


* Contributor to medical codeset process.


* Oversight for clinical day 1 readiness including but not limit...