[Hiring] Clinical Pharmacist @Centene Corporation

Role Description

Define and develop standard and custom formularies for assigned plan.

Clinical Pharmacist (Quality). This remote position works a Monday through Friday schedule from 8:00 AM to 5:00 PM Central Time and focuses on project-based quality initiatives that support clinical and formulary decision-making. Key responsibilities include:

• Creating and updating clinical policies
• Contacting providers regarding quality measures
• Ensuring clinical criteria align with state guidelines
• Applying evidence-based findings to coverage policies and formulary decisions
• Developing clinical criteria for medications
• Recommending plan design changes and clinical programs to be initiated
• Monitoring prior authorization requests
• Providing clinical support to internal departments and addressing clinical related questions
• Ensuring appropriate quality controls and initiating opportunities for performance improvement in pharmacy/practice
• Developing and implementing programs designed to impact DUR for both Medicaid and Medicare
• Developing, implementing, and maintaining policies and procedures for the pharmacy department
• Participating in the coordination of the Medicare MTM program
• Assisting case management team with members including clinical rounds presentations

Qualifications

• Bachelor’s degree or advanced degree (Pharm.D., M.S.) in pharmacy
• 2+ years of experience in managed care, clinical, hospital or retail pharmacy experience or 1+ years of pharmacy residency program experience

Requirements

• Current state’s Pharmacist license with no restrictions

Benefits

• Competitive pay
• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• Flexible approach to work with remote, hybrid, field or office work schedules