Remote Clinical Pharmacist: Formulary & Quality Lead

Centene Corporation; Illinois; Hybrid; USD 108,000 - 199,000; Full time

Benefits offered by this job

Health insurance

401K program

Stock purchase plans

Tuition reimbursement

Paid time off + holidays

Flexible remote/hybrid/office work

Job summary

Centene Corporation in the United States is seeking a Clinical Pharmacist (Quality) for a remote role. You will define and develop standard and custom formularies for assigned plan, support clinical and formulary decision-making, and participate in quality initiatives on a Monday–Friday schedule.

The ideal candidate has 2+ years in managed care or related settings, a Pharm.D. or MS in pharmacy, and strong data analysis skills with proficiency in Excel.

Qualifications

• Bachelor’s degree or advanced degree (Pharm.D., M.S.) in pharmacy.
• 2+ years of experience in managed care, clinical, hospital or retail pharmacy.
• 1+ years of pharmacy residency program experience.

Responsibilities

• Develop clinical criteria for medications, recommend plan design changes, and clinical programs to be initiated
• Monitor prior authorization requests
• Provide clinical support to internal departments and address clinical related questions
• Ensure appropriate quality controls and initiates opportunities for performance improvement in pharmacy/practice
• Develop and implement programs designed to impact DUR for both Medicaid and Medicare
• Develop, implement, and maintain policies and procedures for the pharmacy department
• Participate in the coordination of the Medicare MTM program
• Assist case management team with members including clinical rounds presentations

Skills

Data analysis

Critical appraisal of literature

Education

Pharmacy degree (Pharm.D./MS)

Tools

Microsoft Excel

Job description

Centene Corporation in the United States is seeking a Clinical Pharmacist (Quality) for a remote role. You will define and develop standard and custom formularies for assigned plan, support clinical and formulary decision-making, and participate in quality initiatives on a Monday–Friday schedule.

The ideal candidate has 2+ years in managed care or related settings, a Pharm.D. or MS in pharmacy, and strong data analysis skills with proficiency in Excel.