临床药剂师（处方集与质量）
Clinical Pharmacist (Formulary & Quality)
职位职责：为指定计划制定和开发标准和定制的药品目录。
关键信息：印第安纳州临床药剂师（药品目录与质量）。这是一个远程工作机会，要求持有印第安纳州执照的药剂师，每周一至周五在东部时间白天工作。有两个临床药剂师岗位，分别支持印第安纳州医疗补助药房运营，一个侧重药品目录与政策，另一个侧重质量与临床项目，两个岗位之间有协作和交叉覆盖的机会。职责包括领导药品目录、事先授权和临床政策项目；支持质量改进和药物相关的临床项目；分析药房和绩效数据；制定政策、流程、教育材料和沟通内容；与跨职能团队、供应商和提供者合作，实施以州为导向和以质量为重点的项目。理想的候选人应具备管理护理、医疗补助、健康计划、药品福利管理者（PBMs）、药品目录管理、事先授权、质量改进、专科药物管理和/或人群健康方面的经验，并展现出良好的临床判断力、书面沟通能力、项目管理能力、数据分析能力和协作能力。此职位需要能够处理优先级冲突，将复杂需求转化为可操作的解决方案，识别风险，并持续交付准确、可审计的工作成果。此机会提供有意义的自主权、可见度，并有机会直接对印第安纳州医疗补助药房项目的成员获取、药物安全、质量结果和合规性产生影响。
- 为药物制定临床标准，推荐计划设计变更和启动临床项目
- 监控事先授权请求
- 为内部部门提供临床支持并解答相关问题
- 确保适当的质控措施，并在药房/实践中发现性能改进的机会
- 制定和实施旨在影响医疗补助和医保DUR的项目
- 制定、实施和维护药房部门的政策和程序
- 参与医保MTM项目的协调
- 协助病例管理人员，包括进行临床查房演示
教育/经验：药学学士学位或更高学位（药学博士、硕士）。2年以上邮购或零售药房经验
查看英文原文
Position Purpose: Define and develop standard and custom formularies for assigned plan.
Key Details: Indiana Clinical Pharmacist (Formulary & Quality). This is a remote opportunity for an Indiana-licensed Pharmacist working Monday through Friday on a daytime Eastern Time schedule. There are two open Clinical Pharmacist positions that support Indiana Medicaid pharmacy operations through either a Formulary & Policy focus or a Quality & Clinical Programs focus, with opportunities for collaboration and cross-coverage between the roles. Responsibilities include leading formulary, prior authorization, and clinical policy initiatives; supporting quality improvement and medication-related clinical programs; analyzing pharmacy and performance data; developing policies, workflows, educational materials, and communications; and partnering with cross-functional teams, providers, and vendors to implement state-driven and quality-focused initiatives. The ideal candidate will have experience in managed care, Medicaid, health plans, PBMs, formulary management, prior authorization, quality improvement, specialty drug management and/or population health and demonstrate strong clinical judgment, written communication, project management, data analysis, and collaboration skills. Success in this role requires the ability to manage competing priorities, translate complex requirements into actionable solutions, identify risks, and consistently deliver accurate, audit-ready work. This opportunity offers meaningful ownership, visibility, and the chance to directly impact member access, medication safety, quality outcomes, and regulatory compliance within Indiana Medicaid pharmacy programs.
- Develop clinical criteria for medications, recommend plan design changes, and clinical programs to be initiated
- Monitor prior authorization requests
- Provide clinical support to internal departments and address clinical related questions
- Ensure appropriate quality controls and initiates opportunities for performance improvement in pharmacy/practice
- Develop and implement programs designed to impact DUR for both Medicaid and Medicare
- Develop, implement, and maintain policies and procedures for the pharmacy department
- Participate in the coordination of the Medicare MTM program
- Assist case management team with members including clinical rounds presentations
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. Specialty drug management experience, preferred
Licenses/Certifications: Current Indiana Pharmacist license with no restrictions.
Pay Range: $107,700.00 - $199,300.00 per year
At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
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
Originally posted on Himalayas