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Centene Corporation Pharmacy Coordinator/Bonus Eligible in Lafayette, Louisiana

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose:

Perform duties to support the efforts pharmacy department in the development, coordination and maintenance of the health plan’s pharmacy program.

  • Receive and respond to provider and pharmacy calls regarding the prior authorization and formulary process

  • Perform review of pharmacy and override process in compliance with pharmaceutical related company and State guidelines

  • Track and trend overrides to ensure criteria have been met, audit for prior authorizations, analyze cost and determine utilization patterns

  • Resolve complaints and grievances related to the pharmacy network in conjunction with the Pharmacy team

  • Assist Provider Relations and various departments with educating providers on the health plan’s pharmacy process

  • Assist with the pharmacy utilization review and reporting process

  • Collaborate with Quality Improvement department with various meeting preparation and transcription of minutes

  • Assist with members’ inquiries related to the formulary process

Our Comprehensive Benefits Package:

Flexible work solutions including remote options, hybrid work schedules and dress flexibility

Competitive pay

Paid Time Off including paid holidays

Health insurance coverage for you and dependents

401(k) and stock purchase plans

Tuition reimbursement and best-in-class training and development

Education/Experience:

High school diploma or equivalent. 3+ years of pharmacy experience, preferably in a managed care environment. Medicare and/or Medicaid experience preferred.

For Superior Health Plan:

Education/Experience:

High school diploma or equivalent. 3+ years of pharmacy experience, preferably in a managed care environment. Medicare and/or Medicaid experience preferred. Previous experience in call center or fast paced pharmacy answering multi-line phone system preferred. Microsoft office experience preferred (Excel, Word, PowerPoint)

License/Certificate: Current state’s Pharmacy Technician license and Pharmacy Technician Certification Board (PTCB) or the ability to obtain both license and PTCB within 30 days of the start date.

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.

TITLE: Pharmacy Coordinator/Bonus Eligible

LOCATION: Lafayette, Louisiana

REQNUMBER: 1296237

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