Lead Fulfillment Pharmacist - Express Scripts - Onsite - St. Louis, MO
Compensation
Pay not listed
The week · per this posting · Monday – Thursday
Ask the employer about the pay range, call expectations, weekend coverage and time off.
Job Description
The hours for this position will be Monday - Thursday, 3:30 PM - 2:00 AM. Some overtime is expected and position will qualify for pay differential.
Position Summary
The Lead Fulfillment Pharmacist monitors and assures compliance to State and Federal Rules and Regulations, FDA requirements, manufacturer contractual Adverse Event and Product Complaint clinical requirements and completes general Product Verification Checks.
This will be an onsite position
Essential Functions
- Provide oversight and quality assurance to pharmacy technicians.
- Replenish automated counting equipment
- Perform product verification of technician prepared items
- Address orders with patient specific special handling requests
- Direct supervision of technicians working in all areas of the pharmacy
- Opening, closing, and securing of pharmacy during production hours
- Fill liquid orders requiring pharmacist dispensing
- Maintain quality and efficiency expectations
- Adhere to all state and federal regulations surrounding pharmacy practice
- Training of other pharmacists and/or technicians in functions
Back up other pharmacists as needed, perform additional duties as assigned by management, or train less experienced pharmacists.
Qualifications
Graduate of ACPE Accreditation School of Pharmacy with a B.S. Pharmacy or Pharm. D, degree.
- 1-2 years relevant experience.
- Current Missouri pharmacist license in good standing.
- Advanced problem solving skills and the ability to work collaboratively with other departments to resolve issues.
- Good oral and written communication skills.
- Ability to read and interpret prescriptions.
- Strong focus on customer service, quality and accuracy.
- Ability to manage timelines and meet tight client deadlines.
- Ability to adapt in a changing environment.
- Ability to work a flexible schedule for peak volume times.
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.
Key Responsibilities
The Lead Fulfillment Pharmacist is responsible for overseeing pharmacy technicians, ensuring quality assurance, and performing product verification checks. They must also maintain compliance with state and federal regulations while managing pharmacy production and training staff.
Qualifications
- Experience
- 2+ years of experience
Key Skills
Pharmacist Career Context
Of the 50 active Pharmacy listings this role was benchmarked against, 38% are remote, 42% have no call, 56% require no weekends.
The cost-of-living index for Missouri is 90.8 (US average = 100; BEA Regional Price Parities (2024)). 60.1% of Missouri clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
| Measure | This job | Market |
|---|---|---|
| Listed pay | not listed | Pharmacy median $141k (middle half $135k–$149k)204 comparable listings, Nov 2026 |
| Cost of living | Missouri index 90.8 | US average = 100BEA Regional Price Parities (2024) |
| Pharmacy listings in Missouri | 205 active | 10,152 nationallylive on WeekdayDoc, Nov 2026 |
| Work setting | on-site | peers: 38% remote · 42% no call · 56% no weekends50 benchmarked listings |
| Sign-on & loan repayment | not stated | Missouri pharmacist listings (all specialties): 25% state a sign-on bonus (median $25k) · 18% offer loan repayment214 active listings, Nov 2026 |
| New Pharmacy listings | 3,639 in the last 30 days | 3,238 the 30 days before (+12%)U.S., first seen on WeekdayDoc, Nov 2026 |
| Pharmacy pay trend | +3.2% vs prior quarter | —through Oct 2026 |
| Cigna Healthcare | silver tier, 71/100 | Top Employers work-life index38 active listings |
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