Manager, Clinical Pharmacy Services

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🏄 California, Florida, +1 more states – Remote

🏄 California – Remote 🐊 Florida – Remote 🗽 New York – Remote

💵 $107.7k - $199.3k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💊 Pharmacist

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Centene Corporation

WebsiteLinkedInAll Job Openings

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.

📋 Description

• Oversee the clinical pharmacy services function and develop new quality improvement and revenue enhancement activities • Ensure all prior authorization requests are reviewed and completed accurately and timely • Assist with prior authorizations and determinations for appropriate drug products for complex or escalated requests • Research and develop new cost reduction, pricing, quality improvement and revenue enhancement activities • Ensure that clinical pharmacy services are in compliance with laws and regulations • Review any provider or physician complaints, recommend solutions to address the issues and update senior management as needed • Develop and implement policies and procedures related to clinical pharmacy services • Oversee the analysis of pharmacy cost of care and trends and recommend changes for improvements • Oversee the development and implementation of medication therapy management programs • Evaluate program performance, recommend changes and ensure successful implementation of changes

🎯 Requirements

• Bachelor’s degree or advanced degree (PharmD., M.S) in pharmacy • 4+ years of mail order, retail, hospital or managed care pharmacy experience or pharmacy residency program experience • Management experience preferred • Current state's pharmacy license • Proficient in Microsoft applications including Visio, Excel, and Word

🏖️ 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