Remote Manager, Clinical Pharmacy Operations (LA)

Centene; United States; Remote; USD 108,000 - 199,000; Full time

Benefits offered by this job

Comprehensive benefits

Remote/Hybrid/work options

401K and stock plans

Job summary

Centene is seeking a Manager of Clinical Pharmacy Operations for a remote role serving the Louisiana Medicaid program. The position requires LA residency, supervisory responsibilities for three staff, and collaboration with regulators, health plans, Government Relations, and finance teams.

The role emphasizes leadership, program development, formulary and DUR oversight, and compliance with Louisiana policies. Strong MS Office proficiency and prior PBM/managed care experience are a plus.

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 clinical pharmacy activities through subordinate staff to enhance quality of pharmaceutical care and cost-effective utilization for members.
• Develops, implements and maintains clinical pharmacy programs including quality assurance, formulary management, drug utilization review, compliance and education.
• Coordinates clinical efforts with other departments to ensure cohesive programs.
• Performs QA monitoring of staff to ensure best practices and compliance with regulatory standards (Medicare Star, HCQA/HEDIS).
• Oversees and/or develops clinical recommendations for Pharmacy and Therapeutics committee approval.
• Monitors clinical advancements to ensure appropriate coverage of safe, effective pharmaceuticals and program implementation.
• Oversees compliant administration of the pharmacy benefit.
• Acts as liaison to outside agencies/providers and primary contact for clinical pharmacy issues.
• Performs other duties and complies with policies and standards.

Skills

Leadership

Change management

Managed care experience

PBM experience

Public speaking

Project management

Communication

Microsoft Office

Education

Doctor of Pharmacy degree

Tools

Microsoft Office

Job description

Centene is seeking a Manager of Clinical Pharmacy Operations for a remote role serving the Louisiana Medicaid program. The position requires LA residency, supervisory responsibilities for three staff, and collaboration with regulators, health plans, Government Relations, and finance teams.

The role emphasizes leadership, program development, formulary and DUR oversight, and compliance with Louisiana policies. Strong MS Office proficiency and prior PBM/managed care experience are a plus.