Remote Director, Pharmacy Benefit Management (Indiana)

Centene Corporation; Indiana (PA); Hybrid; USD 135,000 - 249,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off

Job summary

Centene Corporation in Indiana is seeking a Director of Pharmacy to develop, direct, and implement a remote pharmacy benefit program, serving as the leader for the Indiana health plan with oversight of policy, utilization management, and formulary alignment.

The ideal candidate will be a strategic thinker with strong managed care pharmacy experience, comfortable supervising staff, and able to collaborate with boards and external stakeholders.

Qualifications

• Pharmacist licensed in Indiana; ability to receive licenses in additional states as required.
• 3+ years of clinical pharmacy care experience.
• 3+ years of contracting, quality improvement and management experience in a healthcare environment, preferably managed care.
• Thorough knowledge of pharmaceutical care and pharmacy benefit management practices.
• Previous management experience including hiring, training, assigning work and managing staff.

Responsibilities

• Establish the strategic vision, objectives and policies and procedures for the pharmacy program in support of the corporate strategic vision.
• Plan, direct and implement pharmacy activities.
• Act as the pharmacy contract administrator for the development and implementation of key contracts and ensure that relevant performance standards are met by vendors.
• Resolve disputes, grievances and complaints involving pharmacy program issues.
• Participate in external accreditation initiatives.
• Participate in relevant boards, task forces, committees, meetings and other activities.
• Manage relationships with key vendors such as pharmacy benefit management companies and pharmaceutical companies.
• Support provider education initiatives such as counter detailing and incentive programs.
• Manage and analyze operating costs and participate in preparing the annual budget for the assigned work function at both corporate and the health plans.
• Review and analyze reports, records and directives, and confer with staff to obtain data required for planning work function activities.
• Conduct statistical analysis of data related to assigned work function, and prepare reports and records on data and the assigned work function activities for management and corporate.

Skills

Strategic thinking

Detail-oriented

Solutions-focused

Managed care pharmacy experience

Education

Bachelor’s degree or advanced degree (PharmD., M.S) in pharmacy

Job description

Centene Corporation in Indiana is seeking a Director of Pharmacy to develop, direct, and implement a remote pharmacy benefit program, serving as the leader for the Indiana health plan with oversight of policy, utilization management, and formulary alignment.

The ideal candidate will be a strategic thinker with strong managed care pharmacy experience, comfortable supervising staff, and able to collaborate with boards and external stakeholders.