Pharmacy Operations Coordinator I

extra holidays - extra parental leave
Work set-up: 
Full Remote
Contract: 
Work from: 

Offer summary

Qualifications:

High School Diploma or GED required., 2+ years of pharmacy experience in managed care preferred., Current state’s Pharmacy Technician license preferred., Experience with Medicare billing and retail pharmacy operations is a plus..

Key responsibilities:

  • Support the administration of the pharmacy program to ensure accuracy and compliance.
  • Review benefit and formulary setup, including testing procedures.
  • Conduct claims analysis to monitor and improve pharmacy services.
  • Assist with other operational tasks as assigned.

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Centene Corporation XLarge https://www.centene.com/
10001 Employees
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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 ManagementHealth Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

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.
      • Review benefitformulary setup and testing (new and year over year).
          • Conduct claims analysis
              • Performs other duties as assigned
                  • Complies with all policies and standards
                    • EducationExperience: High School Diploma or GED
                      2+ years of pharmacy experience in managed care environment preferred

                      LicenseCertification: Current state’s Pharmacy Technician license preferred

                      Preferred Qualifications:

                      • Experience with Medicare billing processes and regulations

                      • Background in retail pharmacy operations

                      • Familiarity with pharmacy insurance billing and claims resolution

                      • Availability to work Monday–Friday, 8:00 AM – 4:30 PM PST

                        • Pay Range: $19.04 $32.35 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 individuals skills, experience, education, and other jobrelated factors permitted by law, including fulltime or parttime 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

Experience

Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Detail Oriented

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