Manager, Clinical Pharmacy Services

Centene Corporation•Remote-FL, FL

1d•$107,700 - $199,300•Remote

About The Position

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

Requirements

Bachelor’s degree or advanced degree (PharmD., M.S) in pharmacy.
4+ years of mail order, retail, hospital or managed care pharmacy experience or pharmacy residency program experience.
Current state's pharmacy license.

Nice To Haves

Management experience preferred.
Experience supporting a Prior Authorization or Decision Tree team, preferably within Medical Pharmacy.
Proficient in Microsoft applications including Visio, Excel, and Word.
Available to work a schedule that may begin as early as 9:30 AM EST.

Responsibilities

Oversee the clinical pharmacy services function and develop new quality improvement and revenue enhancement activities
Ensure all prior authorization requests are reviewed and completed accurately and timely
Assist with prior authorizations and determinations for appropriate drug products for complex or escalated requests
Research and develop new cost reduction, pricing, quality improvement and revenue enhancement activities
Ensure that clinical pharmacy services are in compliance with laws and regulations
Review any provider or physician complaints, recommend solutions to address the issues and update senior management as needed
Develop and implement policies and procedures related to clinical pharmacy services
Oversee the analysis of pharmacy cost of care and trends and recommend changes for improvements
Oversee the development and implementation of medication therapy management programs. Evaluate program performance, recommend changes and ensure successful implementation of changes