VP, Clinical Pharmacy Strategy & Formulary Leadership (Remote)

Centene Corporation; Missouri; Hybrid; USD 189,000 - 360,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Job summary

Centene Corporation is seeking a senior Pharmacy Benefit Management leader to develop, implement, and oversee the PBM program across multiple product lines and locations. You will ensure compliance with contractual guidelines and regulatory requirements while driving quality and affordability.

You will provide enterprise leadership for P&T governance, formulary strategy, and vendor relationships, aiming to optimize clinical and financial outcomes and maintain readiness for evolving markets.

Qualifications

• Bachelor's Degree in Pharmacy required.
• PharmD preferred.
• 10+ years of clinical pharmacy care experience.
• Management experience including hiring and performance oversight.
• Quality improvement experience preferred.

Responsibilities

• Provides enterprise leadership for pharmacy clinical operations, including Pharmacy & Therapeutics (P&T) governance, formulary strategy, clinical policy oversight, and drug pipeline management to support quality, affordability, and regulatory compliance.
• Leads pharmacy trend management, high-cost therapy strategies, and manufacturer relationship management, including medical rebate strategy and negotiations, to optimize clinical and financial outcomes.
• Partners cross-functionally with Pharmacy, Product, Actuary, Medical Affairs, Compliance, PHCO, and Market teams to develop and execute enterprise pharmacy strategies that enhance member access and business performance.
• Oversees strategic planning for emerging therapies, formulary performance, and pharmacy spend management while ensuring readiness for evolving market and regulatory requirements.
• Evaluate program performance and recommend to State on program changes that would result in improved costs and higher quality.
• Responsible for developing and attaining pharmacy AOP initiatives and Per Member Per Month (PMPM) goal.
• Establish the strategic vision, objectives and policies and procedures for the pharmacy program in support of the corporate strategic vision.
• Participate in internal and external accreditation initiatives, relevant boards, task forces, committees, meetings and other activities.
• Manage relationships with and provide appropriate oversight of key vendors, including industry leading partners (e.g. ICER) and pharmaceutical companies.
• Performs other duties as assigned.
• Complies with all policies and standards.

Skills

P&T governance

Formulary strategy

Vendor management

Regulatory compliance

Leadership

Cross-functional work

Education

Bachelor's Degree in Pharmacy

PharmD preferred

Tools

ICER

Job description

Centene Corporation is seeking a senior Pharmacy Benefit Management leader to develop, implement, and oversee the PBM program across multiple product lines and locations. You will ensure compliance with contractual guidelines and regulatory requirements while driving quality and affordability.

You will provide enterprise leadership for P&T governance, formulary strategy, and vendor relationships, aiming to optimize clinical and financial outcomes and maintain readiness for evolving markets.