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Senior Clinical Pharmacist

Centene Corporation
Guadalupe, Arizona, US
Closing date
Jan 17, 2022

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Position Type
Clinical Pharmacist
Specialty Area
Work Setting
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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:** Define and develop standard and custom formularies for complex or specialized medications for assigned plan + Develop clinical criteria for review of complex or specialized medications, recommend plan design changes and communicate recommendations to clients + Monitor and review prior authorization requests for complex or specialized 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 + Develop and implement medication therapy management programs. Evaluate program performance, recommend changes and ensure successful implementation of changes + Ensure and evaluate quality controls and implement opportunities for performance improvement + Research drug information to maintain drug knowledge and disease state understanding for application to prior authorization reviews + 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. 4+ years of mail order, retail, hospital, managed care pharmacy experience or pharmacy residency program experience. Licenses/Certifications: Current state's Pharmacist license with no restrictions _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._ **TITLE:** Senior Clinical Pharmacist **LOCATION:** Tempe, Arizona **REQNUMBER:** 1264539

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