Remote Louisiana Clinical Pharmacy Operations Manager

Centene Corp.; Louisiana; Hybrid; 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 and holidays

Job summary

Centene Corp. in Louisiana seeks a Manager of Clinical Pharmacy Operations to develop and administer clinical pharmacy tools and programs aligned with regulatory and financial goals.

This remote role requires residing in Louisiana and leads three direct reports, collaborating with regulators, health plan leadership, Government Relations, Quality, Finance, and Actuarial teams. The position emphasizes policy development, formulary management, DUR, and education, with a focus on regulatory

Qualifications

• Doctor of Pharmacy degree required.
• 1–3 years clinical pharmacy experience including formulary development, DUR, and/or MTM.
• Four years progressively responsible positions within managed care pharmacy with at least two in a management role.
• Public speaking experience.

Responsibilities

• Directs and manages clinical pharmacy activities through staff to enhance quality and cost-effective use.
• Develops and maintains clinical pharmacy programs including quality assurance, formulary management, DUR, compliance, and education.
• Coordinates clinical efforts with other departments for cohesive programs.
• Performs quality assurance monitoring to ensure best practices and regulatory compliance (e.g., Medicare Star, HEDIS).
• Oversees clinical recommendations and guidelines for approval by Pharmacy and Therapeutics committee.
• Monitors advances in evidence-based practice to ensure safe, effective therapies and program implementation.
• Oversees compliant administration of the pharmacy benefit.
• Acts as liaison to outside agencies and providers on clinical pharmacy issues.

Skills

Leadership

Managed care

PBM experience

Microsoft Office

Education

Doctor of Pharmacy

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 aligned with regulatory and financial goals.

This remote role requires residing in Louisiana and leads three direct reports, collaborating with regulators, health plan leadership, Government Relations, Quality, Finance, and Actuarial teams. The position emphasizes policy development, formulary management, DUR, and education, with a focus on regulatory