Clinical Formulary Pharmacist

Centene

Base: $107,700.00 - $199,300.00 py; bonus/equity: ...
**
Develop standard and custom formularies
Assess drug use trends and new releases
Analyze pharmacy cost of care
** Centene is seeking a Clinical Formulary Pharmacist to join their Medical Management/Health Services team, focusing on developing formularies and clinical guidelines for various healthcare programs. The role requires a strong background in managed care pharmacy, with responsibilities including drug utilization review, cost analysis, and clinical support. This position offers flexibility with a hybrid work environment. **

Job Summary

  • This role defines and develops standard and custom formularies for Commercial, Medicaid, Medicare Part D, and Health Information Marketplace lines of business.
  • The position requires analyzing pharmacy costs, coordinating appropriate use protocols, and meeting regulatory reporting requirements for drug utilization review.
  • Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K, stock purchase plans, and tuition reimbursement.

Matching Summary

Match Score: 75

** Centene is seeking a Clinical Formulary Pharmacist to join their Medical Management/Health Services team, focusing on developing formularies and clinical guidelines for various healthcare programs. The role requires a strong background in managed care pharmacy, with responsibilities including drug utilization review, cost analysis, and clinical support. This position offers flexibility with a hybrid work environment. **

Salary

Base: $107,700.00 - $199,300.00 per year; Bonus/Equity: Not specified; Benefits: Competitive pay, health insurance, 401K, stock purchase plans, tuition reimbursement, paid time off

Skills & Requirements

Must-have

  • Develop standard and custom formularies
  • Assess drug use trends and new releases
  • Analyze pharmacy cost of care
  • Coordinate prior authorization criteria
  • Design clinical edits for claims adjudication

Nice-to-have

  • Strong communication with P&T Committee
  • Experience with fraud and abuse reporting
  • Ability to support pharmacy technicians

Key Requirements

  • Bachelor's or PharmD/MS degree in pharmacy
  • 3+ years managed care pharmacy experience
  • Current valid unrestricted state pharmacist license

Work Rights

Not specified

Tailored Resume

Cover Letter