Pharmacy Operations Coordinator I
Remote-AZ, United States
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: Remote (Work-from-Home)
The standard schedule is Monday through Friday, with approximately 5 working hours per day. Work hours may begin as early as 7:30 AM and conclude no later than 5:00 PM, depending on the candidate’s time zone. Candidates located in the Pacific Time Zone (PST) are strongly preferred.
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
2+ years of pharmacy experience in managed care environment preferred
License/Certification: Current state’s Pharmacy Technician license preferredPay 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 individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
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
Job Profile
Candidates in pacific time zone preferred Holidays
Benefits/Perks401(k) Competitive benefits Competitive pay Comprehensive benefits Comprehensive benefits package Flexible approach Flexible work schedules Health insurance Holidays Paid Time Off Remote work Stock purchase Stock purchase plans Tuition reimbursement Workplace flexibility
Tasks- Conduct claims analysis
- Ensure compliance
- Review benefit/formulary
- Support pharmacy program
- Testing
Analysis Benefits Claims Claims analysis Clinical Compliance Coordination Education Flexibility Formulary setup Health Insurance Health Services Insurance Managed Care Management Medical management Operations Pharmacy Pharmacy operations Pharmacy Technician Program development Testing
Experience2 years
EducationAS Diploma Education GED High School High school diploma Insurance Management Pharmacy technician
CertificationsCertification Pharmacy Technician Pharmacy technician license
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9