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Manager, Clinical Pharmacy Services

Houston, Texas Apply Now Job ID 1151711 Category Leadership Organization Envolve Schedule Full-time
Position Purpose: Oversee the Clinical Pharmacy Services department and develop new quality improvement and revenue enhancement activities.

  • Ensure all duties for the pharmacy staff in the Pharmacy Services Prior Authorization (PA) help desk are scheduled, coordinated, and completed in a professional and timely manner
  • Review Prior Authorization requests for coverage and make determinations for appropriate drug products
  • Research and develop new cost reduction, pricing, quality improvement and revenue enhancement activities
  • Ensure that Clinical Pharmacy Services are in compliance with existing laws and regulations
  • Document and log any provider/physician complaints and ensure senior management is notified of complaints in a timely manner
  • Develop, implement, and maintain appropriate policies and procedures
  • Participate in the development, coordination, and management of the operating and capital equipment budgets
  • Train and educate new pharmacists and support staff in the Prior Authorization center
  • Build strategic relationships with client's key decision makers
  • Qualifications:

    Education/Experience: Bachelor's degree or advanced degree (PharmD., M.S) in pharmacy. 3+ years of retail or hospital pharmacy experience or 1+ years of managed care pharmacy experience. Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff.

    License/Certification: Current state's pharmacy license

    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.
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