
10,000+ employees
Founded 1984
⚕️ Healthcare Insurance
🤝 Non-profit
🌍 Social Impact
Healthcare Insurance • Non-profit • Social Impact
Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.
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10,000+ employees
Founded 1984
⚕️ Healthcare Insurance
🤝 Non-profit
🌍 Social Impact
Healthcare Insurance • Non-profit • Social Impact
Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.
• Manage populations of patients who meet high risk criteria in order to improve disease state outcomes and improve medication related safety • Ensure safe, effective, and cost-effective medication therapy will be implemented for all patients in their care and monitor care appropriately • Support quality department to improve HEDIS metrics on projects related to medication adherence and routine health visits • Provide clinical recommendations pertaining to, but not limited to gaps in care, high risk medications, compliance and adherence, drug interactions, therapeutic substitution and generic substitution • Utilize client formulary information and member specific benefits to guide appropriate medication recommendations • Be aware of current and emerging clinical trends and educate clinical team, physicians and other prescribers • Participate in the development of educational materials that may be presented as education intervention programs • Collaborate with physicians and other prescribers by reviewing patients drug profiles to help safeguard against new prescriptions having unintended side effects and by working with prescribers to assure that the drugs prescribed are eligible for coverage; are low cost, high quality products • Outreach to physicians to clarify medication regimens and make recommendations • Conduct research and analysis to identify cost management and process/quality improvement opportunities
• Bachelor’s degree or advanced degree (Pharm.D., M.S.) in pharmacy • 2+ years of mail order, retail, hospital, managed care pharmacy experience or pharmacy residency program experience
• 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
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