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Clinical Pharmacist (Formulary & Quality)

Centene Corporation · United States · US

Utilization Review
Remote/Hybrid — check advert
Pharmacist
Demand76
Career growth74
Healthcare fit86
Remote potential72
Salary band
USD 108k – 199k
5-year outlook
Managed care and formulary pharmacy roles at large payers tend to offer stable, competitive compensation with room to move into senior clinical policy, formulary strategy, or pharmacy leadership. Growth depends on expanding scope into Medicare/Medicaid program ownership and cross-functional leadership.
Clinical license
Required
Applicant reach
narrow
Seniority
mid
Employment type
full-time
Date found
2026-10-03

Intelligence details

Flexible work details

Side income
Classified as side-income friendly
Engagement type
Permanent
Hours
Full-time
Eligible countries
United States
License jurisdiction
US
Profession fit
Pharmacist
Rate period
Annual

Why this was classified this way

  • part-time

Listing via Himalayas.

Eligibility, licensing, and location restrictions can change. Always confirm details on the source posting before applying.

Why this is worth applying to

Worth applying for pharmacists with managed care, PBM, or residency experience who want to move away from dispensing into formulary, policy, and quality work. The Indiana license requirement is a hard gate, so non-Indiana pharmacists should not apply unless they can obtain licensure.

Who should apply

Pharmacists with 2+ years of managed care, PBM, retail, hospital, or mail-order experience, or 1+ years of pharmacy residency, who hold or can obtain an active Indiana license. Strong fit for pharmacists interested in formulary management, prior authorization, DUR, MTM, and Medicaid/Medicare quality programs.

CV angle

Reframe clinical pharmacy experience around population-level impact: highlight formulary or drug-class decision support, prior authorization or criteria development, DUR/MTM involvement, quality or performance improvement projects, and any policy, workflow, or educational material development. Emphasize data analysis, cross-functional collaboration with providers and vendors, and audit-ready documentation from real roles.

Skills to highlight

  • Formulary management and clinical criteria development
  • Prior authorization review and clinical policy
  • Drug utilization review (DUR) and MTM program support
  • Medicaid/Medicare pharmacy program knowledge
  • Quality improvement and performance measurement
  • Data analysis and pharmacy performance reporting
  • Policy, workflow, and educational material development
  • Cross-functional collaboration with providers and vendors

Role summary

A managed care clinical pharmacist role at Centene supporting Indiana Medicaid (and some Medicare) pharmacy programs. Responsibilities include leading formulary, prior authorization, and clinical policy work, developing clinical criteria and plan design recommendations, supporting DUR and MTM programs, analyzing pharmacy performance data, and partnering with internal teams, providers, and vendors to improve medication safety, access, and quality outcomes.

We publish our own intelligence summary, never the full job description. Always confirm details with the employer when you apply.