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Clinical Pharmacist

Employer
Centene Corporation
Location
Burr Ridge, Illinois, US
Closing date
Jan 7, 2022

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Position Type
Clinical Pharmacist
Specialty Area
Other
Work Setting
Community
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Position Purpose:

Define and develop standard and custom formularies for assigned plan.
  • Develop clinical criteria for review of medications, recommend plan design changes and communicate recommendations to clients
  • Monitor and review prior authorization requests for medications
  • Develop and design clinical edits to adjudicate claims and enhance drug utilization
  • 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
  • Research drug information to maintain drug knowledge and disease state understanding for application to prior authorization reviews
  • Participate in the development and implementation of medication therapy management programs
  • Provide clinical guidance and support to various departments and address clinical related questions

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 (Pharm.D., M.S.) in pharmacy. 2+ years of mail order, retail, hospital or managed care pharmacy experience or 1+ years of pharmacy residency program experience.

Licenses/Certifications: Current state's Pharmacist license with no restrictions.
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