This is a remote position. Ideal candidates must reside and be licensed in one of the following states: Florida, Georgia, Mississippi, Tennessee, Texas or Virginia.
This is a full-time work schedule, Monday- Friday with an 8-hour dayshift CST during business hours. Candidates must be flexible to work outside of these hours to accommodate member availability and outreach windows.
This position is responsible for providing targeted Medication Therapy Management (MTM) services to poly-chronic, high-cost members within the Individual and Family Plans (IFP), many of whom face significant social determinants of health challenges. The Clinical Pharmacist will focus on direct member outreach and clinical engagement, applying creative problem-solving and clinical judgment to improve medication outcomes and support care transitions, where applicable.
This is a hands-on clinical role. The ideal candidate is nimble, curious, and energized by member-facing work that requires adaptability and thoughtful clinical action.
Key Responsibilities
Conduct proactive outreach to IFP members identified via claims, discharge data, or care coordination triggers, focusing on polypharmacy, adherence gaps, and high-risk medication use.
Deliver Comprehensive Medication Reviews (CMRs) and develop personalized Medication Action Plans (MAPs) that address clinical and socioeconomic barriers.
Collaborate with multidisciplinary care teams to ensure continuity of care and timely resolution of medication-related issues.
Document clinical interventions and member interactions in designated platforms, maintaining accuracy and compliance.
Support outreach campaigns such as 90-day conversion, generic optimization, and readmission prevention through direct member contact and follow-up.
Apply creative thinking and clinical judgment to navigate complex member scenarios and adapt outreach strategies to meet evolving needs.
Required Qualifications
Doctor of Pharmacy (PharmD).
Active pharmacist license in applicable state(s).
Minimum 2 years of clinical experience in ambulatory care, MTM, or managed care settings.
Strong interpersonal and communication skills, with a demonstrated ability to engage members and collaborate across teams.
Experience with pharmacy analytics platforms preferred.
Preferred Attributes
Medication Therapy Management (MTM) Certification
Comfort working in a fast-paced, evolving environment with shifting priorities.
Ability to identify and act on clinical opportunities with minimal oversight.
A mindset geared toward continuous improvement, member-centered care, and creative problem-solving.
Familiarity with IFP population health strategies and QRS-aligned clinical quality measures.
Bilingual in Spanish a plus
About Cigna Healthcare
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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 require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.
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.