Remote Senior Manager, Clinical Pharmacy Operations

Centene Corp.; United States; 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 remote/hybrid/work schedules

Job summary

Centene Corporation is seeking a Manager of Clinical Pharmacy Operations to develop, implement, and administer clinical pharmacy tools and programs that support corporate and regional drug utilization and financial goals. This fully remote role prefers strong leadership and experience in managed care or PBM operations.

You will direct clinical pharmacy activities, oversee formulary management and DUR, ensure regulatory compliance including Medicare Star and HCQA/HEDIS, and collaborate with

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.

Responsibilities

• Directs and manages clinical pharmacy activities through subordinate staff to enhance quality of pharmaceutical care and cost-effective utilization.
• Develops, implements and maintains clinical pharmacy programs including quality assurance, formulary management, DUR, compliance and/or education.
• Coordinates clinical efforts with other department areas to ensure cohesive programs.
• Performs QA monitoring of staff to ensure best practices and compliance with standards like Medicare Star and HCQA/HEDIS.
• Oversees and/or develops clinical recommendations for approval by Pharmacy and Therapeutics committee.
• Monitors clinical advances to ensure safe and effective pharmacotherapy and program implementation.
• Oversees compliant administration of the pharmacy benefit.
• Acts as clinical liaison to outside agencies and providers; primary contact for clinical pharmacy issues.

Skills

People leadership

Managed care

Clinical pharmacy operations

Formulary management

Drug utilization review

Medicaid experience

Public speaking

Education

Doctor of Pharmacy

Pharmacist license

Job description

Centene Corporation is seeking a Manager of Clinical Pharmacy Operations to develop, implement, and administer clinical pharmacy tools and programs that support corporate and regional drug utilization and financial goals. This fully remote role prefers strong leadership and experience in managed care or PBM operations.

You will direct clinical pharmacy activities, oversee formulary management and DUR, ensure regulatory compliance including Medicare Star and HCQA/HEDIS, and collaborate with