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Centene

Runs government-backed health insurance plans

Director of Pharmacy

Medical, Clinical & VeterinaryConfirmed live in the last 24 hours
Full-timeIndiana, USA$134.6k - $249k /yr

About the Job

Requirements

  • A bachelor's degree or advanced degree (PharmD or M.S.) in pharmacy.
  • At least 3 years of clinical pharmacy care experience.
  • At least 3 years of recent contracting, quality improvement, and management experience in a healthcare environment; managed care experience is preferred.
  • Thorough knowledge of pharmaceutical care and pharmacy benefit management practices.
  • Previous management experience, including hiring, training, assigning work, and managing staff performance.
  • An Indiana pharmacist license and ability to obtain licenses in additional states as required.
  • A valid driver's license and Indiana residency.

Responsibilities

  • Establish the strategic vision, objectives, policies, and procedures for the pharmacy program in support of the corporate strategic vision.
  • Plan, direct, and implement pharmacy department activities.
  • Administer pharmacy contracts, support contract development and implementation, and ensure vendors meet relevant performance standards.
  • Resolve disputes, grievances, and complaints involving pharmacy program issues.
  • Participate in external accreditation initiatives.
  • Participate in relevant boards, task forces, committees, meetings, and other activities.
  • Manage relationships with key vendors, including pharmacy benefit management companies and pharmaceutical companies.
  • Support provider education initiatives, including counter detailing and incentive programs.
  • Manage and analyze operating costs and participate in preparing the annual budget for the assigned function at the corporate and health-plan levels.
  • Review and analyze reports, records, and directives, and confer with staff to obtain data for planning work-function activities.
  • Conduct statistical analysis of data related to the assigned work function and prepare reports and records on data and work-function activities for management and corporate.
  • Develop, direct, and implement the pharmacy benefit management program; support the Vice President of Medical Affairs in formulating and administering organizational policies and procedures concerning pharmacy service quality, utilization management, and company goals for pharmacy and medical programs.
  • Oversee the Indiana health plan pharmacy benefit program's strategic, operational, financial, and regulatory functions, including program performance, policy implementation, regulatory compliance, utilization management, and formulary oversight.
  • Produce pharmacy trend reports for finance and leadership and resolve pharmacy-related disputes, grievances, and complaints.
  • Assist with the development, presentation, and implementation of policies and procedures, and develop solutions while executing corporate strategy.
  • Attend occasional in-office meetings with health plan leadership or state and pharmacy agencies as required.

Desired Qualifications

  • Managed care experience is preferred.

About the Company

Centene

Runs government-backed health insurance plans

Centene runs government-backed health insurance plans in the United States, with Medicaid as its largest business alongside Medicare and Affordable Care Act Marketplace coverage. It is one of the largest Medicaid insurers in the country and also runs plans for people eligible for both Medicare and Medicaid, long-term care and children in foster care. States and the federal government pay Centene a set amount per member to manage care, and individuals buy its Ambetter Marketplace plans, often with federal subsidies. Centene contracts with local doctors, hospitals and pharmacies and keeps the difference between premiums and the cost of care. The company was founded in 1984 in Milwaukee and is headquartered in Clayton, Missouri.

Company size
10,001+
Company stage
IPO
Headquarters
Clayton, MO
Founded
1984

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