Director, Pharmacy

Centene Management Company LLC; United States; Remote; USD 135,000 - 249,000; Full time

Benefits offered by this job

competitive pay

health insurance

401K and stock plans

tuition reimbursement

paid time off

Job summary

Centene Management Company LLC in Indiana is seeking a Director, Pharmacy to develop, direct and implement the pharmacy benefit management program. You will oversee strategic, operational, financial, and regulatory aspects of the program, ensuring policy compliance and alignment with corporate goals.

The role is remote with Indiana residency preferred; occasional in-office meetings may occur in Indianapolis.

Qualifications

• Strategic thinker with strong managed care pharmacy experience.
• Detail-oriented and solutions-focused.
• Experience in contracting, quality improvement and management in healthcare, preferably managed care.

Responsibilities

• Plan, direct, and implement pharmacy department activities.
• Review and analyze reports and directives.
• Produce pharmacy trend reports for finance and leadership.
• Resolve pharmacy-related disputes, grievances, and complaints.
• Participate in boards, task forces, committees, and cross-functional initiatives.
• Support provider education programs.
• Develop, present and implement policies and procedures.

Skills

Strategic thinking

Detail-oriented

Solutions-focused

Education

Bachelor’s degree or PharmD./MS in Pharmacy

Job description

Position Purpose: Perform duties to develop, direct and implement a pharmacy benefit management program. Aid the Vice President of Medical Affairs in formulating and administering related organizational policies and procedures, including pharmacy service quality, pharmacy utilization management and achievement of Company goals for pharmacy and medical programs.

Key Details: This is a remote Indiana Pharmacist opportunity, Monday through Friday, 8:00 AM to 5:00 PM Eastern.

The Director, Pharmacy serves as the designated pharmacy leader for the Indiana health plan, responsible for strategic, operational, financial, and regulatory oversight of the pharmacy benefit program. It’s a state-required function that ensures accountability for pharmacy program performance, policy implementation, regulatory compliance, utilization management, formulary oversight, and alignment with broader health plan objectives.

Responsibilities

• The candidate is a strategic thinker, detail-oriented, solutions-focused, with strong managed care pharmacy experience, including direct supervision of pharmacy staff.
• Planning, directing, and implementing pharmacy department activities.
• Reviewing and analyzing reports and directives.
• Producing pharmacy trend reports for finance and leadership.
• Resolving pharmacy-related disputes, grievances, and complaints.
• Participating in boards, task forces, committees, and cross-functional initiatives.
• Supporting provider education programs.
• Assisting with the development, presentation, and implementation of policies and procedures.
• Developing innovative solutions while executing corporate strategy.
• Establishing the strategic vision, objectives and policies and procedures for the pharmacy program in support of the corporate strategic vision.
• Planning, directing and implementing pharmacy activities.
• Acting as the pharmacy contract administrator for the development and implementation of key contracts and ensuring that relevant performance standards are met by vendors.
• Resolving disputes, grievances and complaints involving pharmacy program issues.
• Participating in external accreditation initiatives.
• Managing relationships with key vendors such as pharmacy benefit management companies and pharmaceutical companies.
• Supporting provider education initiatives such as counter detailing and incentive programs.
• Managing and analyzing operating costs and participating in preparing the annual budget for the assigned work function at both corporate and the health plans.
• Reviewing and analyzing reports, records and directives, and conferring with staff to obtain data required for planning work function activities.
• Conducting statistical analysis of data related to assigned work function, and preparing reports and records on data and the assigned work function activities for management and corporate.

The candidate must reside in Indiana per the state contract, with the health plan office located in downtown Indianapolis. While the role is remote, occasional in-office meetings may be required with health plan leadership or state and pharmacy agencies.

Education/Experience

• Bachelor’s degree or advanced degree (PharmD., M.S) in pharmacy.
• 3+ years of clinical pharmacy care experience.
• 3+ years of recent contracting, quality improvement and management experience in a healthcare environment, preferably managed care.
• Thorough knowledge of pharmaceutical care and pharmacy benefit management practices.
• Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.

License/Certification

• Indiana Pharmacist license.
• Ability to receive license in additional states as required.
• Valid driver's license and must live in Indiana.

Pay Range

• $134,600.00 - $249,000.00 per year

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

Benefits

• competitive pay
• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• a flexible approach to work with remote, hybrid, field or office work schedules

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.

Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.