Clinical Pharmacist
Remote-WA, United States
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.
- Develop clinical criteria for medications, recommend plan design changes, and clinical programs to be initiated
- Monitor prior authorization requests
- Provide clinical support to internal departments and address clinical related questions
- Ensure appropriate quality controls and initiates opportunities for performance improvement in pharmacy/practice
- Develop and implement programs designed to impact DUR for both Medicaid and Medicare
- Develop, implement, and maintain policies and procedures for the pharmacy department
- Participate in the coordination of the Medicare MTM program
- Assist case management team with members including clinical rounds presentations
Licenses/Certifications: Current state’s Pharmacist license with no restrictions.Pay Range: $105,600.00 - $195,400.00 per year
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. Total compensation may also include additional forms of incentives.
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
Job Profile
Holidays
Benefits/Perks401(k) Competitive benefits Competitive pay Comprehensive benefits Comprehensive benefits package Flexible approach Flexible work schedules Health insurance Holidays Paid Time Off Stock purchase Stock purchase plans Tuition reimbursement Workplace flexibility
Tasks- Coordinate medicare mtm program
- Develop and implement programs
- Develop formularies
- Implement pharmacy programs
- Monitor prior authorizations
- Provide clinical support
Authorization requests Benefits Case Management Clinical Criteria Clinical pharmacy Clinical programs Education Formularies Health Insurance Health Services Insurance Managed Care Management Medicaid Medical management Medicare Performance Improvement Pharmacy Pharmacy policies Prior authorization Procedures Quality Control
Experience2 years
EducationAS Bachelor's degree Education Insurance M.S. in pharmacy Pharm.D
Certifications TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9