Offer summary

Qualifications:

High School Diploma or GED required; Associate’s Degree preferred., 3+ years of pharmacy experience, preferably in a managed care environment., Experience with government-sponsored programs (Medicare and/or Medicaid) is preferred., Proficiency in Excel and familiarity with pharmacy claims data is advantageous..

Key responsibilities:

Ensure the administration of the pharmacy program is accurate and compliant.

Support the development, coordination, and maintenance of the pharmacy program.

Conduct user acceptance testing (UAT) and data analysis for pharmacy operations.

Serve as a subject matter expert for various pharmacy operations tasks, including claims and formulary management.

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.

Remote position – centralized to Fresno/Sacramento CA

Position Purpose: This role will focus on ensuring that the administration of the pharmacy program is accurate and compliant by supporting various operational tasks.

Perform duties to support the development, coordination and maintenance of the pharmacy program.

Conduct UAT and data analysis to aid in the development, coordination and maintenance of the pharmacy program.

Serve as the subject matter expert supporting various pharmacy operations tasks including but not limited to claims, formulary, benefit, and networks.

Performs other duties as assigned

Complies with all policies and standards

Education/Experience: High School Diploma or GED, Associate’s Degree preferred, and 3+ years of pharmacy experience, preferably in managed care environment. Government sponsored program (Medicare and/or Medicaid) experience preferred.

License/Certification: Current state’s Pharmacy Technician license preferred

Preferred Qualifications:

Experience in working with pharmacy claims data with an understanding of key pricing elements
Proficiency in Excel; Access a plus
Ability to conduct data analysis to support network operations and exercise

Pay Range: $26.50 - $47.59 per hour

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

Required profile