Director, Pharmacy

Company: Medicare
Location: Stillwater
Posted on: September 14, 2023

Job 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.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 program issues.
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 activities.
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, Stillwater , Director, Pharmacy, Healthcare , Stillwater, Oklahoma