Role overview

Qualifications

High School Diploma or GED
2+ years of pharmacy experience in managed care environment preferred
Current state’s Pharmacy Technician license preferred
Proficiency with Excel, Visio, and pharmacy operations processes

Responsibilities

Ensure the administration of the pharmacy program is accurate and compliant
Support the development, coordination, and maintenance of the pharmacy program
Review benefit/formulary setup and testing (new and year over year)
Conduct claims analysis

Key facts

Remote from: Arizona (USA), Florida (USA), Georgia (USA), Michigan (USA)
Full time
Mid-level (2-5 years)
Operations Coordinator
English

Hard skills

Pharmacy Operations Pharmacy Benefit Management Managed Care

Other skills

Microsoft Excel
Communication
Teamwork
Time Management
Problem Solving

About the company

Centene Corporation

Health Insurance (Payers)

Centene Corporation provides high-quality healthcare services to members in all 50 states. Since its founding in 1984, Centene has worked to transform the health of communities, one person at a time. Centene is the largest Medicaid managed care organization in the country and provides a portfolio of services to government sponsored healthcare programs. Centene believes that healthcare is best delivered locally. Our local health plans offer a range of health insurance solutions with a focus on providing accessible care to uninsured and under-insured individuals. Many receive benefits provided under Medicaid, including the State Children's Health Insurance Program (CHIP), as well as Aged, Blind or Disabled (ABD), Foster Care and Long Term Care (LTC), in addition to other state-sponsored/hybrid programs, and Medicare (Special Needs Plans). Centene also contracts with other healthcare and commercial organizations to provide specialty services including behavioral health management, care management software, dental benefits management, in-home health services, life and health management, managed vision, pharmacy benefits management, specialty pharmacy and telehealth services. Centene’s hiring practices reflect the composition of the members and communities we serve, allowing us to deliver quality, culturally sensitive healthcare to millions of members. Centene employees help change the world of healthcare and transform our communities. To learn more about career opportunities with Centene, visit: https://jobs.centene.com/

Company details

Company typeXLarge

IndustryHealth Insurance (Payers)

Company size10001

Links

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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.

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 benefit/formulary setup and testing (new and year over year).

Conduct claims analysis

Performs other duties as assigned

Complies with all policies and standards

Education/Experience: High School Diploma or GED
2+ years of pharmacy experience in managed care environment preferred

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

Preferred Qualifications:

Ability to work a Monday–Friday schedule from 9:30 AM–6:00 PM EST.
Candidates may reside in any U.S. state but must hold an active Pharmacy Technician license in their state of residence.
Proficiency with Excel, Visio, and pharmacy operations processes.
Clinical understanding of pharmacy benefit management (PBM) processes and pharmacy operations; MedPharm experience preferred.

Pay Range: $19.43 - $32.98 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