[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.

• Create and update clinical policies.
• Contact providers regarding quality measures.
• Ensure clinical criteria align with state guidelines.
• Apply evidence-based findings to coverage policies and formulary decisions.
• Develop clinical criteria for medications.
• Recommend plan design changes and clinical programs to be initiated.
• Monitor prior authorization requests.
• Provide clinical support to internal departments and address clinical related questions.
• Ensure appropriate quality controls and initiate opportunities for performance improvement in pharmacy/practice.
• Develop and implement programs designed to impact DUR for both Medicaid and Medicare.
• Develop, implement, and maintain policies and procedures for the pharmacy department.
• Participate in the coordination of the Medicare MTM program.
• Assist 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.