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. Responsible for Centene pharmacy operations in Arkansas, including QualChoice, Arkansas Health & Wellness, Arkansas Total Care, and Wellcare. Regular travel to Little Rock, Arkansas required. Position Purpose: Manage all aspects of pharmacy operations in two markets with multiple products. Perform duties to develop, direct and implement a pharmacy benefit management program. Aid in formulating and administering related organizational policies and procedures, including pharmacy service quality, pharmacy utilization management and achievement of Company goals for pharmacy and medical programs. Establish the strategic vision, objectives and policies and procedures for the pharmacy program in support of the Corporate strategic vision for multiple plans and markets. Plan, direct and implement pharmacy activities for multiple plans and products. Act as the pharmacy contract administrator for the development and implementation of key contracts and ensure that relevant performance standards are met by vendors. Participate in external accreditation initiatives for multiple plans and products. Manage and analyze operating costs and participate in preparing materials needed for budget planning or special initiatives. Generate, review and analyze drug utilization, utilization management, financial and other ad-hoc reports, records and directives. Confer with staff to obtain data required for planning work function activities. Review statistical analysis in support of recommendations and/or decision making for policies and operational procedures. Maintain daily communication with plan management relative to each market and product. Manage pharmacy department staff to assure adequate coverage and support in multiple locations and for multiple products. Support provider education initiatives such as counter detailing and incentive programs in multiple markets.
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Job Type
Full-time
Career Level
Senior