Clinical Pharmacist Specialist

1 week ago


Tallahassee, Florida, United States Centene Corporation Full time
Clinical Pharmacist Job Description

As a Clinical Pharmacist at Centene Corporation, you will play a crucial role in ensuring our members receive the most effective and cost-effective pharmacological therapies. Your expertise will be utilized to process prior authorization requests for non-formulary medications, ensuring that our members receive the best possible care.

Key Responsibilities:
  • Review prior authorization requests for clinical appropriateness
  • Verify member eligibility and coverage
  • Evaluate prescription claim history and chart notes
  • Apply Medical Policy Criteria to prior authorization requests
  • Communicate with physicians regarding prior authorization decisions
  • Compile data for reporting purposes
Requirements:
  • Bachelor's or Doctor of Pharmacy degree
  • One-year prior experience
  • Current, valid, and unrestricted Pharmacist license in the state of employment

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. Total compensation may also include additional forms of incentives.

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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