Remote Formulary Pharmacist - Managed Care & P&T

Centene Management Company LLC; Florida; Hybrid; USD 108,000 - 199,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Job summary

Centene is seeking a licensed pharmacist to define and develop standard and custom formulary strategies for Commercial, Medicaid, Medicare Part D and the Health Information Marketplace. This is a fully remote role; CST or EST time zones are preferred, with 75% overlap during training on PST hours.

Responsibilities include pharmacy cost of care analysis, creating prior authorization criteria, and supporting the Pharmacy & Therapeutics Committee.

Qualifications

• Pharmacist license with no restrictions.
• 3+ years in managed care pharmacy or residency experience.

Responsibilities

• Analyze pharmacy cost of care, trends, and coordinate use protocols.
• Set criteria for medication analysis and reports for clients.
• Develop clinical edits to adjudicate claims and support P&T committee decisions.
• Provide guidance to pharmacy technicians and support documentation for committee reviews.

Skills

Pharmacoeconomics

Clinical guidelines

Pharmacy analytics

Team guidance

Education

Pharmacy degree (PharmD/MS)

Job description

Centene is seeking a licensed pharmacist to define and develop standard and custom formulary strategies for Commercial, Medicaid, Medicare Part D and the Health Information Marketplace. This is a fully remote role; CST or EST time zones are preferred, with 75% overlap during training on PST hours.

Responsibilities include pharmacy cost of care analysis, creating prior authorization criteria, and supporting the Pharmacy & Therapeutics Committee.