Clinical Pharmacist

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.

As a Clinical Pharmacist, you will define and develop standard and custom formularies for assigned plans, develop clinical criteria for medications, and recommend plan design changes and clinical programs to be initiated. You'll monitor prior authorization requests and provide clinical support to internal departments while addressing clinical related questions.

Key Responsibilities:

• 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 initiate 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