Senior Clinical Pharmacist

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

Benefits offered by this job

Health insurance

401K

Stock purchase plan

Tuition reimbursement

Paid time off

Flexible work arrangements

Job summary

Centene is seeking a pharmacist to define formularies and develop medication therapy management programs across plans. You will analyze data, evaluate program performance, ensure quality controls, and provide clinical guidance to departments.

The role includes collaborating on clinical programs across Commercial, Medicaid, Medicare Part D and Marketplace, with a pay range stated from $107,700.00 to $199,300.00 per year.

Qualifications

• Bachelor’s degree in pharmacy; Pharm.D. or MS preferred.
• 4+ years of mail order, retail, hospital, managed care pharmacy experience or residency.
• Current state's Pharmacist license with no restrictions; may require additional licensure.
• Experience with clinical programs and outcomes analysis.

Responsibilities

• Define and develop standard and custom formularies for complex medications.
• Develop and implement medication therapy management programs.
• Evaluate program performance and drive improvements.
• Provide clinical guidance to departments and address clinical questions.
• Analyze pharmacy data and trends to improve member outcomes.

Skills

Clinical guidance

Program evaluation

Data analysis

Team collaboration

Regulatory compliance

Education

Pharm.D./MS or Bachelor's in pharmacy

Bachelor's degree in pharmacy

Job description

Position Purpose: Define and develop standard and custom formularies for complex or specialized medications for assigned plan

Develop and implement medication therapy management programs.

Evaluate program performance, recommend changes and ensure successful implementation of changes

Ensure and evaluate quality controls and implement opportunities for performance improvement

Provide clinical guidance and support to various departments and address clinical related questions

For Clinical Programs (Operational Excellence):

Support ongoing evaluation of clinical program initiatives promoting quality, safety and cost of care opportunity

Support oversight, development and expansion of clinical pharmacy programs and initiatives by assessing utilization trends and relevant data and literature

Analyze pharmacy data and trends needed to drive positive member outcomes

Ensure and develop strategic relationships supporting organizational strategic initiatives

Performs other duties as assigned

Complies with all policies and standards

Education/Experience: Bachelor's degree or advanced degree (Pharm.D., M.S.) in pharmacy. 4+ years of mail order, retail, hospital, managed care pharmacy experience or pharmacy residency program experience.

Licenses/Certifications: Current state's Pharmacist license with no restrictions May be required to obtain additional state licensure based on business needs

For Clinical Programs (Operational Excellence): Support clinical program outcome analysis and evaluation across populations of patients in order to improve disease state outcomes and improve medication related safety. Support and assist in the development and analysis of various clinical programs to drive strategic initiatives across lines of business including Commercial, Medicaid, Medicare Part D and the Health Insurance Marketplace.

Pay Range: $107,700.00 - $199,300.00 per year

At Centene, we connect people to the care they need to live healthier lives - and the work you do here makes that impact real every day. You'll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It's work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law , including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act