Director, Pharmacy

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

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off + holidays

Flexible remote/work arrangements

Job summary

Centene Corp. is seeking a Director of Pharmacy Benefit Management to lead the Indiana health plan’s pharmacy program from a remote Indiana location.

The role steers strategic, operational, financial and regulatory oversight of PBM activities, while supervising staff and coordinating with state agencies. The ideal candidate has strong managed care pharmacy experience, a track record in policy development and implementation, and a willingness to meet occasionally in-office for leadership meetings

Qualifications

• Bachelor’s degree or PharmD in pharmacy
• 3+ years of clinical pharmacy care experience
• 3+ years of contracting, quality improvement and management experience in a healthcare environment (preferably managed care)
• Knowledge of pharmaceutical care and PBM practices
• Management experience including hiring, training, assigning work and performance management

Responsibilities

• Establish strategic vision, objectives and policies for the pharmacy program
• Plan, direct and implement pharmacy activities
• Act as the pharmacy contract administrator for key contracts and ensure performance standards are met
• Resolve disputes, grievances and complaints involving the program
• Participate in accreditation initiatives and cross-functional committees
• Manage relationships with vendors
• Support provider education initiatives
• Assist with budgeting and cost analysis for the function
• Review reports and data to plan activities
• Conduct data analysis and prepare management reports

Skills

Strategic thinking

Detail-oriented

Solutions-focused

Managed care pharmacy

People management

Education

Bachelor’s degree or PharmD

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. The ideal candidate is a strategic thinker, detail-oriented, solutions-focused, with strong managed care pharmacy experience, including direct supervision of pharmacy staff. Responsibilities include 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; and developing innovative solutions while executing corporate strategy. 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.

• Establish the strategic vision, objectives and policies and procedures for the pharmacy program in support of the corporate strategic vision.
• Plan, direct and implement pharmacy activities.
• Act as the pharmacy contract administrator for the development and implementation of key contracts and ensure that relevant performance standards are met by vendors.
• Resolve disputes, grievances and complaints involving pharmacy program issues.
• Participate in external accreditation initiatives.
• Participate in relevant boards, task forces, committees, meetings and other activities.
• Manage relationships with key vendors such as pharmacy benefit management companies and pharmaceutical companies.
• Support provider education initiatives such as counter detailing and incentive programs.
• Manage and analyze operating costs and participate in preparing the annual budget for the assigned work function at both corporate and the health plans.
• Review and analyze reports, records and directives, and confer with staff to obtain data required for planning work function activities.
• Conduct statistical analysis of data related to assigned work function, and prepare reports and records on data and the assigned work function activities for management and corporate.

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.

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, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

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