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.
This is a remote position, Hours are M-F 8-5 pm PST
**Position Purpose:** Define and develop standard and custom formularies for all lines of business including Commercial, Medicaid, Medicare Part D and the Health Information Marketplace
+ Develop drug product review and formulary recommendations by assessing drug use trends, new drug releases and review of primary literature
+ Analyze pharmacy cost of care, trends, and coordinate the development of appropriate use protocols and guidelines
+ Set criteria for medication analysis, coordinate reports to clients, meet regulatory reporting requirements for drug utilization review and fraud and abuse reporting
+ ...
This is a remote position, Hours are M-F 8-5 pm PST
**Position Purpose:** Define and develop standard and custom formularies for all lines of business including Commercial, Medicaid, Medicare Part D and the Health Information Marketplace
+ Develop drug product review and formulary recommendations by assessing drug use trends, new drug releases and review of primary literature
+ Analyze pharmacy cost of care, trends, and coordinate the development of appropriate use protocols and guidelines
+ Set criteria for medication analysis, coordinate reports to clients, meet regulatory reporting requirements for drug utilization review and fraud and abuse reporting
+ ...