Vice President – Pharmacy Operations
| Company | Centene |
|---|---|
| Location | California, USA, Texas, USA, Florida, USA, North Carolina, USA, Missouri, USA |
| Salary | $182100 – $345600 |
| Type | Full-Time |
| Degrees | Bachelor’s, PharmD |
| Experience Level | Expert or higher |
Requirements
- Bachelor’s Degree in Pharmacy required
- PharmD preferred
- 10+ years of clinical pharmacy care and experience required
- 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
- Quality improvement experience preferred
Responsibilities
- Oversee the pharmacy operations for the business unit, including prior authorization, drug utilization review programs, lock in programs, and plan specific medical management initiatives
- Evaluate program performance and recommend to State on program changes that would result in improved costs and higher quality
- Formulate and administer related organizational policies and procedures, including pharmacy service quality, pharmacy utilization management and achievement of company goals for pharmacy and medical programs
- Responsible for developing and attaining pharmacy AOP initiatives and Per Member Per Month (PMPM) goal
- Establish the strategic vision, objectives and policies and procedures for the pharmacy program in support of the corporate strategic vision
- Establish necessary infrastructure and processes to ensure achievement of above average Medicare STAR ratings for all pharmacy measures
- Oversee the development and implementation of key contracts and ensure that relevant performance standards are met by vendors
- Oversee the resolution of disputes, grievances and complaints involving pharmacy program issues
- Participate in internal and external accreditation initiatives, relevant boards, task forces, committees, meetings and other activities
- Manage relationships with and provide appropriate oversight of key vendors, including pharmacy benefit management and pharmaceutical companies
- Support provider education initiatives such as provider profiling, provide participation in cost savings initiatives (appropriate switches to lower cost medications) and incentive programs
- Performs other duties as assigned
- Complies with all policies and standards
Preferred Qualifications
- Quality improvement experience preferred