Pharmacy Coordinator at Centene

Ideal for an experienced pharmacy technician who lives in Arizona and holds a current state license. You need at least three years of pharmacy experience to man

Work type: remote

Location: Phoenix-Arizona(85008)

Salary: $19 – $33/hr

Type: Full-time

Summary

Ideal for an experienced pharmacy technician who lives in Arizona and holds a current state license. You need at least three years of pharmacy experience to manage prior authorizations and formulary inquiries effectively. **What makes it worth a look...** Centene offers a remote role based in Arizona that pays between $19.43 and $32.98 per hour for a standard full-time schedule of Monday through Friday, 8 to 5 PST. The package includes health insurance, a 401k plan with stock purchase options, and tuition reimbursement. **You might be a good fit if you...** * Hold an active Arizona Pharmacy Technician license. * Possess at least three years of pharmacy or managed care experience. * Have direct experience working with Medicare or Medicaid programs. * Maintain a PTCB certification, which is highly preferred for this role.

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.

Candidate must reside in AZ. This is a remote role. Hours are M-F 8-5 PST

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

Performs other duties as assigned

Complies with all policies and standards

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

License/Certificate: Current Arizona Pharmacy Technician license.

PTCB highly 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.

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