Jobs › Centene

VP, Clinical Pharmacy Services

Centene · FL · Remote available · $188,900–$359,800 a year · Full time

Posted Sep 28, 2026 · We last checked this listing on Oct 6, 2026

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Likely interview questions for this role

Written from this job description, not a generic list. Each one notes what the interviewer is really checking.

About your past

Tell me about a medical rebate negotiation with a manufacturer that you led. What did you get, and what did you give up?

What they are checking: Whether they understand rebate economics and can negotiate while protecting clinical integrity.

Describe how you have worked with actuarial and finance teams to forecast pharmacy spend.

What they are checking: Whether they can bring clinical pipeline insight into financial forecasts that leaders rely on.

Tell me about a time you had to align Medical Affairs, Compliance and market teams on a pharmacy strategy.

What they are checking: Whether they can lead cross-functional work where many groups hold veto power.

What would you do

A new gene therapy is approved and a member needs it soon. How do you prepare the plan clinically and financially?

What they are checking: Whether they plan for pipeline drugs with policy, budget and access ready before the first claim arrives.

How do you decide when a formulary change saves enough money to justify disrupting members?

What they are checking: Whether they weigh member continuity of care against savings rather than chasing rebates alone.

State requirements conflict with your enterprise formulary strategy. How do you handle it?

What they are checking: Whether they respect state contract rules while keeping enterprise strategy as consistent as possible.

About the work

How would you run Pharmacy and Therapeutics governance across multiple product lines with different regulators?

What they are checking: Whether they can keep one sound clinical process while meeting Medicaid, Medicare and Marketplace rules that conflict.

Walk me through how you manage pharmacy trend for high-cost therapies like GLP-1s or specialty drugs.

What they are checking: Whether they combine clinical policy, utilization management and contracting to control spend responsibly.

What would you recommend to a state to improve costs and quality in its pharmacy program, and how would you make the case?

What they are checking: Whether they can build evidence-based proposals that a state Medicaid agency would accept.

How do you keep clinical pharmacy policies current and defensible in an audit?

What they are checking: Whether they have review cycles and documentation that hold up to regulator scrutiny.

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The full job description

As published by Centene.

Position Purpose: Develop, implement and oversee the pharmacy benefit management program across multiple product lines in both centralized and regional environments with multiple locations. Ensure compliance with contractual guidelines of the corporation and health plans impacted by numerous regulatory agencies with complex and often conflicting requirements. • Provides enterprise leadership for pharmacy clinical operations, including Pharmacy & Therapeutics (P&T) governance, formulary strategy, clinical policy oversight, and drug pipeline management to support quality, affordability, and regulatory compliance. • Leads pharmacy trend management, high-cost therapy strategies, and manufacturer relationship management, including medical rebate strategy and negotiations, to optimize clinical and financial outcomes. • Partners cross-functionally with Pharmacy, Product, Actuary, Medical Affairs, Compliance, PHCO, and Market teams to develop and execute enterprise pharmacy strategies that enhance member access and business performance. • Oversees strategic planning for emerging therapies, formulary performance, and pharmacy spend management while ensuring readiness for evolving market and regulatory requirements. • Evaluate program performance and recommend to State on program changes that would result in improved costs and higher quality. • Responsible for developing and attaining pharmacy AOP initiatives and Per Member Per Month (PMPM) goal. • Establish the strategic vision, objectives and policies and procedures for the pharmacy program in support of the corporate strategic vision. • Participate in internal and external accreditation initiatives, relevant boards, task forces, committees, meetings and other activities. • Manage relationships with and provide appropriate oversight of key vendors, including industry leading partners (e.g. ICER) and pharmaceutical companies. • Performs other duties as assigned. • Complies with all policies and standards. Education/Experience: Bachelor's Degree in Pharmacy required. PharmD preferred. 10+ years of clinical pharmacy care and experience required. 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. Quality improvement experience preferred. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Pay Range: $188,900.00 - $359,800.00 per year At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday. 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

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