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Cigna Healthcare
St. Louis, Missouri

Lead Fulfillment Pharmacist - Express Scripts - Onsite - St. Louis, MO

PharmacistFull-Time

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.

Posted 16m ago · Verified live

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

Regulatory complianceTime management

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).

How many Pharmacy jobs are remote?
MeasureThis jobMarket
Listed paynot listedPharmacy median $141k (middle half $135k–$149k)204 comparable listings, Nov 2026
Cost of livingMissouri index 90.8US average = 100BEA Regional Price Parities (2024)
Pharmacy listings in Missouri205 active10,152 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 38% remote · 42% no call · 56% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedMissouri pharmacist listings (all specialties): 25% state a sign-on bonus (median $25k) · 18% offer loan repayment214 active listings, Nov 2026
New Pharmacy listings3,639 in the last 30 days3,238 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 Healthcaresilver tier, 71/100Top Employers work-life index38 active listings
Sources: WeekdayDoc live listing index, Top Employers work-life index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Pharmacist Jobs

36 matches · ranked by pay

Salary Distribution

33 jobs · 28 employers
4
<$135k
8
$135k-150k
9
$150k-165k
7
$165k-180k
5
$180k+

Annual compensation range

Benefits & Perks

30 jobs · 28 employers
401k / retirement match
97%
Sign-on bonus
40%
Loan repayment
3%
CME allowance
3%
PSLF eligible
3%

Share of similar jobs offering each benefit

#1

Population Health Clinical Pharmacist

Banner Health · Phoenix, Arizona

$62.63-$104.39/hr
#2

Ambulatory Clinical Pharmacist

Summit Pacific Medical Center · Elma, Washington

$66.43-$99.27/hr
#3

Dispensing Pharmacist - Long Term Care - Full Time

$55.53-$93.08/hr
#4

Ambulatory Infusion Clinical Pharmacist Float

$59-$88.5/hr
+ 34 more · ranked by pay

Work-life snapshot

median 2.8this job 1.5
Better work-life than 10% of Pharmacy listings

Listing-based score, 0–10, across 10,122 comparable listings. Shaded area = the share scoring below this one.

  • On-site

Living in St. Louis

Typical 3-bedroom home value
$255k
Typical market rent
$1,292/mo
Residents’ average commute
22 min
Metro price indexU.S. average = 100
95.1
State income tax
Up to 5.3%
Sources & methodology

Sources: Zillow home values (Sep 2026), Zillow market rents (Sep 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · St. Louis, MO-IL metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.