Director, Pharmacy Clinical Systems — Remote Leadership

Centene Corporation; 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 plus holidays

Flexible work arrangements (remote,hyb

field or office work schedules

Job summary

Centene Corporation is seeking a Director of Clinical Systems Operations (Pharmacy) to oversee development, implementation, and operation of clinical systems across multiple lines of business. The role supports Eastern or Central business hours and may involve remote work with leadership of 11 team members, including 4 direct reports.

The position requires ownership of clinical applications, regulatory compliance, vendor management, and cross-functional leadership to drive efficiency in pharmacy

Qualifications

• Bachelor's degree in Nursing, Computer Science, Business Administration, MIS or clinical-related field.
• 7+ years of applications, project management, or implementation experience.
• Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.
• Prior ownership of clinical applications and clinical systems operations leadership, highly preferred.

Responsibilities

• Managing the systems that support direct clinical interactions with members and other clinical program activities.
• Providing business rules for clinical data informatics to identify populations and medication-related problems by linking eligibility, medical, and pharmacy claims data across large data sets.
• Managing program triage to pharmacists and technicians based on program type, language, and state board of pharmacy licensure rules.
• Overseeing system documentation and enhancements, business cases and business requirements, regulatory programming and reporting requirements, software defects, new feature implementation, vendor activities, system integrations, and User Acceptance Testing (UAT), while partnering closely with IT to support system and program needs.
• Overseeing the development and functionality of clinical systems and programs to improve efficiency and effectiveness, including system design and requirements gathering.
• Providing direction and guidance to various business functions to ensure systems meet business expectations and alignment with standard solutions and processes.
• Evaluating systems and programs performance, recommending improvement opportunities and implementing changes.
• Overseeing the implementations of new clinical systems and upgrades and modifications of existing clinical systems.
• Overseeing the investigation and resolutions of issues of all clinical systems.
• Able to travel up to 30% of the time.

Skills

Clinical systems leadership

Pharmacy operations

Vendor management

Regulatory compliance

Workflow optimization

Cross-functional leadership

Education

Bachelor's degree in Nursing, Computer Science, or related field

7+ years of applications, project management, or implementation experience

Job description

Centene Corporation is seeking a Director of Clinical Systems Operations (Pharmacy) to oversee development, implementation, and operation of clinical systems across multiple lines of business. The role supports Eastern or Central business hours and may involve remote work with leadership of 11 team members, including 4 direct reports.

The position requires ownership of clinical applications, regulatory compliance, vendor management, and cross-functional leadership to drive efficiency in pharmacy