Remote Clinical Pharmacy Ops Manager - LA Licensed

Centene Corp.; Austin (TX); Remote; USD 108,000 - 199,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work schedules

Job summary

Centene Corp. in Louisiana seeks a Manager of Clinical Pharmacy Operations to develop and administer clinical pharmacy tools and programs, supporting regulatory requirements and financial targets.

This remote position leads three direct reports and collaborates with regulators, health plans, and cross-functional teams to advance quality measures and member outcomes within the Medicaid program.

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.
• Must reside in Louisiana, hold an active LA pharmacist license, and have managerial 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 and maintains clinical pharmacy programs including quality assurance, formulary management, drug utilization review, and compliance.
• Coordinates clinical efforts with other departments to ensure cohesive program implementation.
• Monitors QA and ensures programs meet regulatory and compliance standards (Medicare Star ratings, HCQA, HEDIS).
• Oversees clinical recommendations and guidelines for Pharmacy and Therapeutics approval.
• Keeps current with evidence-based pharmacy practice to optimize coverage and program effectiveness.
• Oversees compliant administration of the pharmacy benefit and acts as liaison to outside agencies.
• Travel as needed and perform other duties as assigned.

Skills

Leadership

Public speaking

Managed care experience

Pharmacy regulatory knowledge

Education

Doctor of Pharmacy degree

Louisiana Pharmacist License

Tools

Microsoft Office

Job description

Centene Corp. in Louisiana seeks a Manager of Clinical Pharmacy Operations to develop and administer clinical pharmacy tools and programs, supporting regulatory requirements and financial targets.

This remote position leads three direct reports and collaborates with regulators, health plans, and cross-functional teams to advance quality measures and member outcomes within the Medicaid program.