Remote (Global) Full-time

Centene Management Company LLC is hiring a Pharmacy Operations Coordinator I

About the Role

At Centene, we are looking for a Pharmacy Operations Coordinator I to help ensure our pharmacy program operates accurately and in compliance. You will support essential operational tasks that keep our pharmacy services running smoothly.

What You'll Do

  • Perform duties to support the development, coordination, and maintenance of the pharmacy program.
  • Review benefit and formulary setup and testing for new implementations and annual updates.
  • Conduct claims analysis.
  • Review and analyze various claims reports.
  • Research and respond to pharmacy benefit inquiries submitted via a shared email inbox.
  • Perform Prescription Drug Event error research and correction.
  • Handle Patient Assistance Program prior authorization entry and related tasks.
  • Conduct audits and reviews of Express Scripts prior authorization entries.

What We're Looking For

  • High School Diploma or GED.

Nice to Have

  • 2+ years of pharmacy experience in a managed care environment.
  • Current state Pharmacy Technician license.

Benefits & Compensation

  • Compensation: $19.43 - $32.98 per hour.
  • Health insurance.
  • 401K and stock purchase plans.
  • Tuition reimbursement.
  • Paid time off plus holidays.
  • Flexible approach to work with remote, hybrid, field, or office work schedules.

Work Mode

This role is open to candidates anywhere in the United States and is offered on a fully remote basis.

Centene is an equal opportunity employer.

Required Skills
Pharmacy OperationsPharmacy Benefit ManagementClaims ProcessingCustomer ServiceData EntryMicrosoft OfficeCommunicationProblem SolvingRegulatory ComplianceHIPAA
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About company
Centene Management Company LLC

A diversified, national organization providing healthcare services to 28 million members.

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Job Details
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Posted 3 months ago