Clinical Formulary Pharmacist:
Centene Corporation

1371847415
Centene Corporation
Detroit Michigan
Biotech
Apply
Description
You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: The Clinical Formulary Pharmacist defines and develops standard and custom formularies for all lines of business including Commercial, Medicaid, Medicare Part D and the Health Information Marketplace.

* Develop drug product review and formulary recommendations by assessing drug use trends, new drug releases and review of primary literature.
* Analyze pharmacy cost of care, trends, and coordinate the development of appropriate use protocols and guidelines.
* Set criteria for medication analysis, coordinate reports to clients, meet regulatory reporting requirements for drug utilization review and fraud and abuse reporting.
* Develop clinical criteria for review of non-formulary or non-preferred drug lists medications and communicate recommendations to clients.
* Develop and design clinical edits to adjudicate claims and enhance drug utilization.
* Develop and review guideline criteria for prior authorization and non-formulary drugs in support of Pharmacy and Therapeutics Committee function and pharmacy benefit design.
* Research drug information to maintain drug knowledge and disease state understanding for application to prior authorization reviews.
* Provide clinical guidance and support to the assigned pharmacy technicians.
* Provide support documentation and develop communication for the Pharmacy &Therapeutic (P&T) Committee review process and decisions.
* Other duties as assigned.

Our Comprehensive Benefits Package:

* Flexible work solutions including remote options, hybrid work schedules and dress flexibility
* Competitive pay
* Paid Time Off including paid holidays
* Health insurance coverage for you and dependents
* 401(k) and stock purchase plans
* Tuition reimbursement and best-in-class training and development

Education/Experience: Bachelor's degree or advanced degree (PharmD, MS) in pharmacy. 3 years of combined managed care pharmacy or pharmacy residency program experience.

License/Certification: Current, valid and unrestricted state's Pharmacist license.

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.