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Director, Clinical Pharmacy Services

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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.

Candidates MUST reside in Indiana.

Position Purpose: Oversee the clinical pharmacy services function and develop new quality improvement and revenue enhancement activities

Engage with pharmacy leaders and health plan leaders to support clinical program implementation, evaluation and expansion based on trend management and total cost of care savings opportunities (e.g., 1:1 sessions/calls with CFO?CEO/COO/VP Rx etc.)
Support and drive interdepartmental partnerships to advance clinical pharmacy strategy through clinical program development and innovation
Act as thought leader to Pharmacy Strategy team members and health plan pharmacists
Partner with data analytics, medical economics and related teams to build financial and business case for pharmacy initiatives
Plan, direct and implement pharmacy related activities
Assist with the development and implementation of key contracts and ensure that relevant performance standards are met by vendors
Ensure successful implementation of prior authorization and drug utilization review program and plan specific management initiatives
Evaluate and recommend to pharmacy related activities and program design
Ensure that all disputes, grievances and complaints involving pharmacy program issues are addressed timely
Participate in external accreditation initiatives and relevant boards, task forces, committees, meetings and other activities
Establish the strategic vision, objectives and policies and procedures for the pharmacy program in support of the corporate strategic vision
Support the development of organizational policies and procedures, including pharmacy service quality, pharmacy utilization management and achievement of company goals
Performs other duties as assigned
Complies with all policies and standards

Education/Experience: Bachelor’s degree or advanced degree (PharmD., M.S) in pharmacy. 7+ years of mail order, retail, hospital, managed care pharmacy experience, or pharmacy residency program experience. Direct Supervisory of pharmacy staff experience.

License/Certification: Current state’s Pharmacist license

Pay Range: $145,100.00 - $268,800.00 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

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CEO of Centene

Sarah London

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Average salary estimate

$206950 / YEARLY (est.)

min

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$145100K

$268800K

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What You Should Know About Director, Clinical Pharmacy Services, Centene

As the Director of Clinical Pharmacy Services at Centene in Indianapolis, you have the unique opportunity to shape the future of healthcare for our 28 million members. Imagine being the driving force behind innovative pharmacy services that truly make a difference! In this role, you'll oversee the entire clinical pharmacy services function while developing quality improvement and revenue enhancement activities. You'll work closely with pharmacy and health plan leaders, implementing clinical programs that optimize care and reduce costs. Your strategic input will guide critical partnerships across departments, enhancing our clinical pharmacy strategy and driving innovation. Not only will you act as a thought leader within the Pharmacy Strategy team, but you'll also collaborate with analytics and economics professionals to build compelling financial cases for new initiatives. Your leadership will ensure the successful execution of prior authorization programs and the management of pharmacy-related matters, from addressing complaints to participating in accreditation initiatives. With your extensive experience—whether in retail, mail order, hospital, or managed care pharmacy—you’ll play a crucial role in establishing our vision for pharmacy services aligned with Centene’s corporate strategies, fostering a flexible and inclusive work environment. Join us on this fulfilling journey where your expertise can lead to monumental change in patient care delivery!

Frequently Asked Questions (FAQs) for Director, Clinical Pharmacy Services Role at Centene

What are the main responsibilities of the Director of Clinical Pharmacy Services at Centene?

The Director of Clinical Pharmacy Services at Centene is responsible for overseeing all pharmacy activities, developing quality improvement initiatives, and driving revenue enhancement. This role engages closely with pharmacy and health plan leaders, coordinates clinical program implementations, and supports strategic partnerships across departments to advance clinical pharmacy strategies.