Remote Clinical Pharmacist: Quality & Formulary Leader

Centene Corporation; Berwyn (IL); Remote; USD 108,000 - 199,000; Full time

Benefits offered by this job

Remote work

Job summary

Centene Corporation seeks a Clinical Pharmacist (Quality) for a fully remote role working Monday to Friday, 8:00 AM–5:00 PM Central Time. You will lead clinical policy development, evaluate drug literature, and support formulary decisions with a focus on Medicaid/Medicare programs.

Ideal candidates possess data analysis and Excel skills, and have experience in managed care or hospital settings. Illinois license is preferred but not required.

Qualifications

• Bachelor's degree or Pharm.D./MS in pharmacy.
• 2+ years of experience in managed care, clinical, hospital or retail pharmacy or 1+ year of residency program experience.
• Illinois Pharmacist license preferred but not required.

Responsibilities

• Develop clinical criteria for medications, recommend plan design changes and clinical programs.
• Monitor prior authorization requests.
• Provide clinical support to internal departments and address clinical questions.
• Ensure quality controls and pursue opportunities for performance improvement in pharmacy/practice.
• Develop and implement DUR-related programs for Medicaid/Medicare.
• Develop, implement and maintain pharmacy policies and procedures.

Skills

Data analysis

Education

Bachelor's degree or Pharm.D./MS in pharmacy

Tools

Microsoft Excel

Job description

Centene Corporation seeks a Clinical Pharmacist (Quality) for a fully remote role working Monday to Friday, 8:00 AM–5:00 PM Central Time. You will lead clinical policy development, evaluate drug literature, and support formulary decisions with a focus on Medicaid/Medicare programs.

Ideal candidates possess data analysis and Excel skills, and have experience in managed care or hospital settings. Illinois license is preferred but not required.