Manager, Clinical Pharmacy Operations

Centene Corporation

. Develop, implement, and administer clinical pharmacy tools and programs supporting corporate and regional drug utilization and financial goals .

Posted 11/4/2026full-timeRemote • Louisiana • United StatesMid-LevelSenior💰 $107,700 - $199,300 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in clinical pharmacy program development, formulary management, and compliance with regulatory standards. Proven leadership in managing pharmacy teams and collaborating with healthcare stakeholders to achieve drug utilization and financial goals.

Highest-signal resume keywords

Doctor Of Pharmacy DegreeClinical Pharmacy ExperienceManagement ExperienceLouisiana Pharmacist LicenseManaged Care Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Formulary DevelopmentDrug Utilization ReviewMedication Therapy ManagementClinical Quality AssurancePharmacy Benefit Administration

Soft Skills

Leadership SkillsEmployee EngagementPublic SpeakingChange Management

Tools & Technologies

Microsoft Office Applications

Certifications & Qualifications

Registered Pharmacist License In Louisiana

Industry Keywords

Medicare Star RatingsHEDIS MeasuresPharmacy And Therapeutics CommitteePharmacy Health Plan LeadershipPBM Experience

About the role

Key responsibilities & impact

Develop, implement, and administer clinical pharmacy tools and programs supporting corporate and regional drug utilization and financial goals
Direct and manage clinical pharmacy activities through subordinate staff
Lead three direct reports: a pharmacist, pharmacy coordinator, and project coordinator
Develop, implement, and maintain clinical pharmacy programs, including clinical quality assurance, formulary management, drug utilization review, compliance, and education
Coordinate clinical efforts with other functional departments
Monitor staff quality assurance and validate compliance with regulatory standards, including Medicare Star ratings and HEDIS measures
Develop clinical recommendations and guidelines for Pharmacy and Therapeutics committee approval
Monitor clinical advancements and evidence-based pharmacy practice changes
Oversee compliant administration of the pharmacy benefit
Serve as clinical pharmacy liaison to outside agencies and providers
Partner with Louisiana Medicaid regulators, health plan executive leadership, Government Relations, Quality, Finance, and Actuarial teams
Support legislative talking points and meetings, provider engagement, clinical strategies, metric reviews, policies, procedures, and CPS compliance
Perform other duties as assigned and comply with all policies and standards

Requirements

What you’ll need

Doctor of Pharmacy degree from an accredited school
One to three years clinical pharmacy experience including formulary development, drug utilization review, and/or medication therapy management
Four years progressively responsible positions within managed care pharmacy
Minimum of two years in a management role
Public speaking experience
Must reside in Louisiana
Must hold an active Louisiana pharmacist license
Must work full-time
At least five years of experience practicing as a pharmacist in a retail setting, including managerial experience
Ability and willingness to travel to Baton Rouge, Louisiana as required
Must maintain a current, valid and unrestricted Registered Pharmacist License in Louisiana
Strong leadership and employee engagement skills
Ability to effectively lead through change
Significant managed care experience, preferably within pharmacy health plan leadership
Previous PBM experience is a plus
Proficiency in all Microsoft Office applications

Benefits

Comp & perks

Competitive pay
Health insurance
401K
Stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Flexible approach to work with remote, hybrid, field or office work schedules
Additional forms of incentives may be included in total compensation
Equal opportunity and diversity commitment