Clinical Account Manager

🕒 August 20

🏰 Missouri – Remote

🏰 Missouri – Remote

💵 $107.7k - $199.3k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💰 Account Manager

👻 Ghost score 29%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Centene Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1984

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

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.

📋 Description

• Provide clinical expertise to clients in designing benefits and clinical programs • Interface with external clients and marketing staff to develop clinical products • Provide expertise in benefit design planning methods and strategies • Explain clinical programs and communicate new practice or clinical information to clients • Develop and present performance reviews with the client account team • Perform clinical data and drug utilization review analysis • Collaborate with Clinical Pharmacists to enhance drug utilization review and prior authorization processes • Provide input into Request for Proposal processes and work with Marketing and Sales on responses and data analysis • Address client clinical needs, including formulary management, benefit design, drug utilization review and clinical programs • Develop and manage customized clinical business plans for clients • Evaluate client programs and restrictions to determine appropriate drug therapy utilization • Consult with clients on clinical interventions and claim adjudication edits • Participate in developing disease state management modules • Perform other duties as assigned • Comply with all policies and standards

🎯 Requirements

• Bachelor’s degree • Licensed qualification in pharmacy (PharmD., RPh) • 3+ years of experience in Clinical pharmacy operations or case management experience in specialty pharmacy preferred • Direct experience interfacing with payers and/or manufacturers preferred • Current state’s pharmacy license with no restrictions

🏖️ Benefits

• Competitive pay • Health insurance • 401K plan • Stock purchase plan • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Additional forms of incentives may be included in total compensation • Equal opportunity employer committed to diversity