Full-time Posted June 22, 2026
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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

+ ...

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