Clinical Pharmacist - Remote

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. The position is remote and requires working EST hours.

Define and develop standard and custom formularies for assigned plans while developing clinical criteria for medications. Recommend plan design changes and clinical programs to be initiated, alongside monitoring prior authorization requests. Provide clinical support to internal departments and address clinical related questions.

Ensure appropriate quality controls and initiate opportunities for performance improvement in pharmacy practice. Develop and implement programs designed to impact DUR for both Medicaid and Medicare. Participate in coordinating the Medicare MTM program and assist the case management team with members, including clinical rounds presentations.

Join a team committed to diversity and equal opportunity, valuing differences in a supportive environment. Develop, implement, and maintain policies and procedures for the pharmacy department. Contribute to member care across managed care settings with a focus on Medicare pharmacy quality measures.