Pharmacy Coordinator

Centene Corp.; Northern (KY); Hybrid; USD 28,000 - 45,000; Full time

Job summary

Centene Corp. is seeking a Remote Pharmacy Coordinator to support the Eastern Time business day, Monday through Friday, 8:30 AM to 5:00 PM.

The role focuses on developing and coordinating the health plan's pharmacy program through outreach, data analysis, and operational support. The ideal candidate has 3+ years of pharmacy experience, strong communication, and is detail-oriented with the ability to navigate multiple software systems.

Qualifications

• 3+ years of pharmacy experience, preferably in a managed care environment.
• Experience with prior authorization and formulary processes is a plus.

Responsibilities

• Receive and respond to provider and pharmacy calls regarding prior authorization and formulary processes.
• Review pharmacy claims to identify trends and opportunities to improve compliance and adherence.
• Audit overrides and track prior authorizations to ensure criteria are met.
• Assist with education of providers on the health plan’s pharmacy process.
• Support utilization review and reporting activities and collaborate with Quality Improvement.

Skills

Pharmacy experience

Communication skills

Organization

Software proficiency

Managed care knowledge

Education

High school diploma or equivalent

Tools

Pharmacy software systems

Job description

## Pharmacy CoordinatorApply: Remote-IN: Full time: Posted Today: End Date: October 12, 2026 (3 days left to apply): 1664788**Position Purpose:** Perform duties to support the efforts pharmacy department in the development, coordination and maintenance of the health plan's pharmacy program. **Key Details:** Remote Pharmacy Coordinator role supporting Eastern Time business hours, Monday through Friday from 8:30 AM to 5:00 PM. This position supports the development, coordination, and maintenance of the health plan's pharmacy program through quality-focused outreach and operational support activities. Responsibilities include conducting provider and pharmacy outreach through calls, letters, faxes, and reporting; reviewing pharmacy claims to identify trends and opportunities to improve compliance and medication adherence; and supporting quality-related initiatives. Candidates with prior PBM, health plan, and/or managed care experience are highly preferred. The ideal candidate will have 3+ years pharmacy, strong communication skills, be organized and detail-oriented, comfortable navigating multiple software systems with ability to prioritize and successfully execute multiple tasks to completion. Indiana is highly preferred but will consider other states in eastern and central time zones. Please attach an up-to-date resume that meets Education / Experience requirements to your application. * 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**Education/Experience (Centene Pharmacy Services)**: High school diploma or equivalent. 3+ years of pharmacy experience, preferably in a managed care environment. Medicare and/or Medicaid experience preferred. Prior experience using analysis tools or systems (ex: web based, custom, proprietary, etc.). Experience in the implementation of quality process improvement efforts. Experience documenting requirements, creating training materials and working directly with end users. **License/Certificate:** Current state's (Indiana) Pharmacy Technician license preferred.Pay Range: $19.43 - $32.98 per hour