Location: Oklahoma City
Posted on: September 18, 2023
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.Oklahoma Complete Health, a Centene company,
is committed to providing quality healthcare solutions to transform
the health of Oklahomans.
At Oklahoma Complete Health, we are community advocates and
change-makers in search of an inclusive culture grounded by our
commitment to work-life balance, competitive compensation, and
continuous career development. Join us and be a part of a
collaborative, growing network of innovative thinkers delivering
solutions at the local level.
Position Purpose: Perform duties to develop, direct and implement a
pharmacy benefit management program. Aid the Vice President of
Medical Affairs in formulating and administering related
organizational policies and procedures, including pharmacy service
quality, pharmacy utilization management and achievement of Company
goals for pharmacy and medical programs.Establish the strategic
vision, objectives and policies and procedures for the pharmacy
program in support of the corporate strategic vision.
Plan, direct and implement pharmacy activities.
Act as the pharmacy contract administrator for the development and
implementation of key contracts and ensure that relevant
performance standards are met by vendors.
Resolve disputes, grievances and complaints involving pharmacy
Participate in external accreditation initiatives.
Participate in relevant boards, task forces, committees, meetings
and other activities.
Manage relationships with key vendors such as pharmacy benefit
management companies and pharmaceutical companies.
Support provider education initiatives such as counter detailing
and incentive programs.
Manage and analyze operating costs and participate in preparing the
annual budget for the assigned work function at both corporate and
the health plans.
Review and analyze reports, records and directives, and confer with
staff to obtain data required for planning work function
Conduct statistical analysis of data related to assigned work
function, and prepare reports and records on data and the assigned
work function activities for management and corporate.Must Reside
in Oklahoma Education/Experience:Bachelor's degree or advanced
degree (PharmD., M.S) in pharmacy. - 3+ years of clinical pharmacy
care experience. 3+ years of recent contracting, quality
improvement and management experience in a healthcare environment,
preferably managed care. Thorough knowledge of pharmaceutical care
and pharmacy benefit management practices. Previous management
experience including responsibilities for hiring, training,
assigning work and managing performance of
staff.License/Certification:Current state's Pharmacist license.
Ability to receive license in additional states as required. Valid
driver's license.For Oklahoma Complete Health Plan:Must have
current pharmacist license in the state of OK. The Pharmacy
Director shall represent the Contractor at all meetings of the
State's DUR Board. If the Contractor subcontracts with a PBM, the
Pharmacy Director shall be responsible for oversight and Contract
compliance of the PBM. The Pharmacy Director may not be an employee
of the PBM/PBA.Our Comprehensive Benefits Package: Flexible work
solutions including remote options, hybrid work schedules and dress
flexibility, Competitive pay, Paid time off including holidays,
Health insurance coverage for you and your dependents, 401(k) and
stock purchase plans, Tuition reimbursement and best-in-class
training and development.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.
Keywords: Medicare, Oklahoma City , Director, Pharmacy, Executive , Oklahoma City, Oklahoma
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