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You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Clinical Pharmacy Specialist - Managed Care - Training, Data Analysis & Content Creation
Position Purpose Aid in the development, coordination, and maintenance of clinical resources to support the pharmacy program. Serve as the primary coordinator for clinical training and education for other Pharmacy department staff.
- Develop and maintain clinical resources to aid in making utilization management decisions for all books of business
- Develop and update workflows and documentation of processes and procedures
- Review and evaluate error data to identify top trends
- Implement educational initiatives based on business needs and top coaching trends
- Develop intervention plans to mitigate quality gaps
- Train various pharmacy staff, including developing and maintaining clinical training manuals
- Track and trend determinations to ensure criteria has been met, audit for prior authorizations, analyze cost and determine utilization patterns
- Provide recommendations for workflow and process document updates based on error findings
- Assist with the pharmacy utilization review and reporting process
- Performs other duties as assigned
- Complies with all policies and standards
Education/Experience Bachelor’s degree in related field or equivalent experience. Doctor of Pharmacy degree preferred.2+ years of pharmacy experience, preferably in a managed care environment.
License/Certification Must have and maintain current, valid and unrestricted Pharmacist license in the state of employment. Board certification preferred. May be required to obtain additional state licensure based on business needs.
Job Specific Details
- Managed Care (Medicaid & Medicare)
- Pharmacy Board Certified, preferred
- Training
- Data analysis
- Content Creation
Working shift TBD - The earliest available shift is 9am - 6pm (Eastern) Monday - Friday.
Pay Range $50.77 - $93.94 per hour
Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Seniority level
Seniority level
Not Applicable
Employment type
Job function
Job function
Health Care ProviderIndustries
Hospitals and Health Care and Insurance
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