Remote Clinical Pharmacist - Formulary & Quality Lead

Centene Management Company LLC; Illinois; Hybrid; USD 108,000 - 199,000; Full time

Job summary

Centene Management Company LLC is seeking a Clinical Pharmacist (Quality) for a remote, Monday–Friday 8:00 AM–5:00 PM Central time role. The position emphasizes project-based quality initiatives supporting clinical and formulary decision‑making.

Responsibilities include developing clinical criteria, monitoring prior authorization, and providing cross‑departmental support. A PharmD/MS with managed care or hospital exposure is preferred, Illinois license is preferred but not required.

Qualifications

• Bachelor’s degree in pharmacy or PharmD/MS in pharmacy.
• 2+ years of managed care, clinical, hospital, or retail experience; or 1+ year pharmacy residency.
• Current state Pharmacist license (preferred).

Responsibilities

• Develop and update clinical policies for formularies.
• Contact providers regarding quality measures.
• Ensure alignment of clinical criteria with state guidelines.

Skills

Data analysis

Microsoft Excel

Clinical literature review

Education

Pharmacy degree

Job description

Centene Management Company LLC is seeking a Clinical Pharmacist (Quality) for a remote, Monday–Friday 8:00 AM–5:00 PM Central time role. The position emphasizes project-based quality initiatives supporting clinical and formulary decision‑making.

Responsibilities include developing clinical criteria, monitoring prior authorization, and providing cross‑departmental support. A PharmD/MS with managed care or hospital exposure is preferred, Illinois license is preferred but not required.