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.
Key Details: This is a remote Indiana Pharmacist opportunity, Monday through Friday, 8:00 AM to 5:00 PM Eastern. The Director, Pharmacy serves as the designated pharmacy leader for the Indiana health plan, responsible for strategic, operational, financial, and regulatory oversight of the pharmacy benefit program. It’s a state-required function that ensures accountability for pharmacy program performance, policy implementation, regulatory compliance, utilization management, formulary oversight, and alignment with broader health plan objectives. The ideal candidate is a strategic thinker, detail-oriented, solutions-focused, with strong managed care pharmacy experience, including direct supervision of pharmacy staff. Responsibilities include planning, directing, and implementing pharmacy department activities; reviewing and analyzing reports and directives; producing pharmacy trend reports for finance and leadership; resolving pharmacy-related disputes, grievances, and complaints; participating in boards, task forces, committees, and cross-functional initiatives; supporting provider education programs; assisting with the development, presentation, and implementation of policies and procedures; and developing innovative solutions while executing corporate strategy. The candidate must reside in Indiana per the state contract, with the health plan office located in downtown Indianapolis. While the role is remote, occasional in-office meetings may be required with health plan leadership or state and pharmacy agencies.
- 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.
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: Indiana Pharmacist license. Ability to receive license in additional states as required. Valid driver's license and must live in Indiana.
Pay Range: $134,600.00 - $249,000.00 per year
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, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
