Manager, Clinical Pharmacy Operations

🔥 41 minutes ago

⚜️ Louisiana – Remote

⚜️ Louisiana – Remote

💵 $107.7k - $199.3k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

⚙️ Operations

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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

• Develop, implement, and administer clinical pharmacy tools and programs supporting corporate and regional drug utilization and financial goals • Direct and manage clinical pharmacy activities through subordinate staff • Lead three direct reports: a pharmacist, pharmacy coordinator, and project coordinator • Develop, implement, and maintain clinical pharmacy programs, including clinical quality assurance, formulary management, drug utilization review, compliance, and education • Coordinate clinical efforts with other functional departments • Monitor staff quality assurance and validate compliance with regulatory standards, including Medicare Star ratings and HEDIS measures • Develop clinical recommendations and guidelines for Pharmacy and Therapeutics committee approval • Monitor clinical advancements and evidence-based pharmacy practice changes • Oversee compliant administration of the pharmacy benefit • Serve as clinical pharmacy liaison to outside agencies and providers • Partner with Louisiana Medicaid regulators, health plan executive leadership, Government Relations, Quality, Finance, and Actuarial teams • Support legislative talking points and meetings, provider engagement, clinical strategies, metric reviews, policies, procedures, and CPS compliance • Perform other duties as assigned and comply with all policies and standards

🎯 Requirements

• Doctor of Pharmacy degree from an accredited school • One to three years clinical pharmacy experience including formulary development, drug utilization review, and/or medication therapy management • Four years progressively responsible positions within managed care pharmacy • Minimum of two years in a management role • Public speaking experience • Must reside in Louisiana • Must hold an active Louisiana pharmacist license • Must work full-time • At least five years of experience practicing as a pharmacist in a retail setting, including managerial experience • Ability and willingness to travel to Baton Rouge, Louisiana as required • Must maintain a current, valid and unrestricted Registered Pharmacist License in Louisiana • Strong leadership and employee engagement skills • Ability to effectively lead through change • Significant managed care experience, preferably within pharmacy health plan leadership • Previous PBM experience is a plus • Proficiency in all Microsoft Office applications

🏖️ Benefits

• Competitive pay • Health insurance • 401K • Stock purchase plans • 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 and diversity commitment

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