Centene Corporation

Compensation

Full Description

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Clinical Pharmacist (Clinical Programs) - Remote EST Position Purpose: Support Pharmacy Quality & Population Health Clinical programs with a focus on improving Medicaid QARR scores and collaborative Case Management programs to improve member outcomes. • Conduct Quality Measure outreach campaigns for HEDIS measures such as ADD, adherence outreaches for MAT medications, Antidepressant, Antipsychotic medications, or confirmation of lab work. • Perform comprehensive Medication Reconciliation reviews to identify and recommend targeted clinical interventions in collaboration with various Case Management team for Populations Health Measures such as High-Risk Diabetes, Hypertension or cardiovascular disease states. • Collaborate with case managers during clinical integrated rounds workups to identify and communicate clinical recommendations to providers for members within various lines of business including Children’s, Foster Care, and High-Risk members to assist with management and improve quality of life. Desired Skills (Combination of and/or): • Managed Care - Medicaid • Case Management • Quality medicine reconciliation • Specialty Pharmacy • Excel – Data Analysis • Experience communicating clinical recommendations with health care providers, including specialists. Working shift: Starting would be Monday-Friday 9am -5:30pm (EST) with possibility to shift into a 4-day work week. 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. • Please attach an up-to-date resume that meets Education / Experience requirements above to your application. * Pay Range: $105,600.00 - $195,400.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. 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. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act