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.
 

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.

Position Purpose:
Oversees the operation of initiatives and programs focused on improvement in pharmacy quality measures (Part D Patient Safety Measures, HEDIS, PQA, etc.) accomplished through collaboration between local health plan and corporate teams. Provides oversight of operations by working closely with manager(s), strategist(s), trainer(s), coordinator(s) to ensure operational excellence in assigned responsibilities. Provides leadership and subject matter expertise across departments to advance the mission of improving pharmacy quality measure performance.

• Provides strategic leadership through collaborating between health plan and corporate teams; ensuring synergies between respective initiatives
• Ownership of operational (e.g. Provider/Pharmacy engagement) and quality outcomes (Part D Patient Safety Measures, HEDIS, PQA, etc.) resulting from deployed quality initiatives
• Represent and serve as the main contact to leadership of assigned health plan(s) and region(s)
• Manage executive-level (e.g. regional president) relationships across teams, including: proactive solutioning, collaboration, decision making, aligning strategies, etc.
• Executive-level communications around strategies, KPIs, and updates to key leadership across teams
• Works closely with senior management to define and implement solutions that can meet current and anticipate future needs.
• Develops, plans and implements initiatives through collaboration with cross functional teams. Functions as a project manager in execution of launch plan and implementation of systems and procedures.
• Work with stakeholder partners in market adoption of new concepts and changes
• Conducts market research and proposes business growth/improvement initiatives through strategic planning.
• Performs other duties as assigned.
• Complies with all policies and standards.

Education/Experience:
Bachelor's Degree in Pharmacy required
PhD in PharmD preferred
Master's Degree in Business preferred

• 7+ years of experience in a licensed pharmacist role, OR completion of PGY-1 residency program + 5 additional years licensed pharmacist upon completion required
• 4+ years of experience in Managed Care/Pharmacy Star Ratings/Quality Metrics required
• 3+ years of managing/leading others required

Licenses/Certifications:
RPH - Registered Pharmacist required

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.

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.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act