Centene Corporation
Pharmacy Operations Coordinator I
Centene Corporation, Fort Wayne, Indiana, United States, 47169
Pharmacy Operations Coordinator I
Centene Corporation
Position Purpose This role will focus on ensuring that the administration of the pharmacy program is accurate and compliant by supporting various operational tasks.
Responsibilities
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.
Perform other duties as assigned.
Comply with all policies and standards.
Job Specific Details
Located in or able to work Pacific Time (PST) hours.
Supports pharmacy benefit management, specific to pharmacy benefits.
Troubleshoot and resolve requests related to pharmacy benefit setup.
Research and analyze reported inquiries and issues by interpreting requests, documentations, and communications from internal and external partners.
Experience in pharmacy operations and/or PBM pharmacy benefit management environment, highly preferred.
Requires managing multiple tasks through a ticketing system and additional responsibilities.
Strong ability to analyze and troubleshoot claim issues using available tools and data.
Uses Excel daily to analyze and validate complex data sets.
Intermediate Excel skills (e.g., pivot tables, LOOKUP formulas, data validation, handling large datasets).
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.
Compensation & Benefits Pay Range $19.43 - $32.98 per hour. Centene offers a comprehensive benefits package including competitive pay, health insurance, 401(k) 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.
Equal Opportunity Employer Statement 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.
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Position Purpose This role will focus on ensuring that the administration of the pharmacy program is accurate and compliant by supporting various operational tasks.
Responsibilities
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.
Perform other duties as assigned.
Comply with all policies and standards.
Job Specific Details
Located in or able to work Pacific Time (PST) hours.
Supports pharmacy benefit management, specific to pharmacy benefits.
Troubleshoot and resolve requests related to pharmacy benefit setup.
Research and analyze reported inquiries and issues by interpreting requests, documentations, and communications from internal and external partners.
Experience in pharmacy operations and/or PBM pharmacy benefit management environment, highly preferred.
Requires managing multiple tasks through a ticketing system and additional responsibilities.
Strong ability to analyze and troubleshoot claim issues using available tools and data.
Uses Excel daily to analyze and validate complex data sets.
Intermediate Excel skills (e.g., pivot tables, LOOKUP formulas, data validation, handling large datasets).
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.
Compensation & Benefits Pay Range $19.43 - $32.98 per hour. Centene offers a comprehensive benefits package including competitive pay, health insurance, 401(k) 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.
Equal Opportunity Employer Statement 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.
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