Senior Clinical Pharmacist

Centene Corporation

. Define and develop standard and custom formularies for complex or specialized medications .

Posted 11/4/2026full-timeRemote • Florida • United StatesSenior💰 $107,700 - $199,300 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in developing and implementing clinical pharmacy programs, including formulary management and medication therapy management. Proficient in analyzing pharmacy data and trends to enhance patient outcomes and ensure compliance with regulatory standards.

Highest-signal resume keywords

Pharmacy Degree (Pharm.D., M.S.)Clinical Pharmacy Program DevelopmentPrior Authorization ReviewPharmacist LicenseMedication Therapy Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Formulary DevelopmentClinical Criteria DevelopmentPharmacy Cost AnalysisClinical Edits DevelopmentDrug Utilization ReviewClinical Program EvaluationData AnalysisRegulatory ReportingPerformance ImprovementClinical Guidance

Soft Skills

CollaborationCommunicationProblem-SolvingRelationship BuildingAdaptability

Certifications & Qualifications

Pharmacist License

Industry Keywords

Managed Care PharmacyMedicaidMedicare Part DHealth Insurance MarketplaceDrug InformationDisease StatesQuality ControlClinical ProtocolsClient ReportingCompliance

About the role

Key responsibilities & impact

Define and develop standard and custom formularies for complex or specialized medications
Develop clinical criteria for medication reviews and recommend plan design changes
Monitor and review prior authorization and appeal requests
Develop clinical edits to adjudicate claims and enhance drug utilization
Analyze pharmacy cost of care and utilization trends
Coordinate protocols, guidelines, client reports, and regulatory reporting
Develop and implement medication therapy management programs
Evaluate program performance and implement improvements
Ensure quality controls and identify performance improvement opportunities
Research drug information for prior authorization reviews
Provide clinical guidance to departments and address clinical questions
Support evaluation, development, and expansion of clinical pharmacy programs
Analyze pharmacy data and trends to improve member outcomes
Develop strategic relationships supporting organizational initiatives
Perform other duties as assigned

Requirements

What you’ll need

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
Current state’s Pharmacist license with no restrictions
May be required to obtain additional state licensure based on business needs
Knowledge of drug information and disease states
Ability to support clinical program outcome analysis and evaluation across patient populations
Ability to develop and analyze clinical programs across Commercial, Medicaid, Medicare Part D and the Health Insurance Marketplace
Compliance with all policies and standards

Benefits

Comp & perks

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 employer committed to diversity