Remote Clinical Pharmacy Operations Manager

Centene Corporation; California; Remote; USD 108,000 - 199,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work arrangements

Total compensation may include other形式

Benefits subject to eligibility

Job summary

Centene Corporation is seeking a Manager of Clinical Pharmacy Operations to develop and administer clinical pharmacy tools and programs that support utilization management and financial goals.

The position is fully remote and requires leadership experience along with a strong background in managed care or PBM clinical pharmacy operations, including clinical edits, drug utilization review, prior authorization, claims adjudication, or formulary management.

Qualifications

• Doctor of Pharmacy degree from an accredited school.
• One to three years clinical pharmacy experience including formulary development, drug utilization review, and/or medication therapy management.
• Four years progressively responsible positions within managed care pharmacy with a minimum of two years in a management role.
• Public speaking experience.

Responsibilities

• Directs and manages clinical pharmacy activities through subordinate staff to enhance the quality of pharmaceutical care and promote cost-effective utilization of pharmaceuticals for members.
• Develops, implements and maintains clinical pharmacy programs including but not limited to clinical quality assurance programs, formulary management, drug utilization review, compliance and/or education.
• Coordinates clinical efforts with other department functional areas to ensure implementation of cohesive programs.
• Performs quality assurance monitoring of staff to ensure best practices and validates that clinical pharmacy programs meet applicable regulatory and compliance standards.
• Oversees and/or develops clinical recommendations and guidelines for approval by the Pharmacy and Therapeutics committee.
• Monitors clinical advancements and changes in evidence-based pharmacy practice to ensure appropriate coverage of the most safe and effective pharmaceuticals and/or implementation of effective programs.
• Oversees compliant administration of the pharmacy benefit.
• Acts as clinical pharmacy liaison to outside agencies and providers as well as the primary point of contact for responsible area on clinical pharmacy issues as needed.
• Performs other duties as assigned.
• Complies with all policies and standards.

Skills

Public speaking

Leadership

Education

Doctor of Pharmacy

Pharmacist License

Job description

Centene Corporation is seeking a Manager of Clinical Pharmacy Operations to develop and administer clinical pharmacy tools and programs that support utilization management and financial goals.

The position is fully remote and requires leadership experience along with a strong background in managed care or PBM clinical pharmacy operations, including clinical edits, drug utilization review, prior authorization, claims adjudication, or formulary management.