Clinical Program Senior Advisor - Remote - Express Scripts (Academic Detailing)

SUMMARY The Senior Clinical Consultant, Academic Detailing supports Evernorth’s Provider Engagement strategy by using clinical expertise, advanced analytics, and evidence-based prescriber education to identify and act on opportunities that improve medication use, quality, safety, and affordability. This role evaluates pharmacy and medical data, provider prescribing patterns, medication regimens, and client priorities to develop targeted, provider-facing academic detailing outreach that supports trend management, reduces waste, and advances measurable clinical and financial outcomes. LOCATION: REMOTE ESSENTIAL FUNCTIONS Analyze pharmacy claims, medical data, provider prescribing patterns, utilization trends, and client-specific priorities to identify actionable clinical, quality, safety, and financial opportunities. Develop, document, and execute evidence-based academic detailing strategies, including patient-specific clinical opportunity identification and provider-specific intervention plans aligned to clinical guidelines, formulary strategy, benefit design, and client objectives. Deliver customized prescriber education through provider-facing channels such as telephonic consultation, clinical direct messaging, fax, written materials, grand rounds, or other approved outreach methods to support clinically appropriate, cost-effective medication use. Use Evernorth analytic tools and reporting resources to improve targeting, monitor outreach activity, assess prescribing trends, and evaluate clinical and financial impact over time. Provide provider-facing recommendations related to initiation, continuation, discontinuation, regimen simplification, dose optimization, formulary alternatives, adherence barriers, and other medication therapy opportunities within approved protocols and clinical guidance. Partner with clients, account teams, clinical subject matter experts, and internal stakeholders to prioritize initiatives, align outreach topics, integrate client-specific processes, and support transparent reporting of progress and outcomes. Maintain accurate documentation of outreach activity, provider feedback, intervention status, and projected or realized impact to support client reporting, operational continuity, and program improvement. Contribute to staff meetings, quality workgroups, client discussions, and departmental initiatives by sharing insights, best practices, outcomes, barriers, and opportunities to improve provider engagement effectiveness. Support formal and informal training, mentoring, and professional development activities, including development or delivery of education for peers, providers, clients, or internal partners. Serve as a clinical resource for provider engagement initiatives and perform other related responsibilities as needed to support client priorities, departmental goals, and Evernorth’s broader clinical strategy.

Current pharmacist license required; relevant PBM, managed care, health plan, provider engagement, or clinical program experience preferred. Strong clinical knowledge and ability to interpret medication therapy, prescribing patterns, utilization trends, quality metrics, and evidence-based guidelines. Experience using claims data, reporting tools, dashboards, or analytic platforms to identify opportunities, support decision-making, and measure outcomes. Client management, consultative communication, or provider-facing education experience preferred. Excellent verbal, presentation, and written communication skills, with the ability to translate complex clinical and data insights into clear, actionable recommendations for providers, clients, and internal partners. Strong project management skills, including the ability to manage multiple priorities, organize work independently, meet deadlines, and resolve complex issues. Demonstrated collaboration, leadership, accountability, and commitment to service excellence, continuous improvement, and measurable outcomes.