Pharmacy Coordinator

NEPSE Trading; United States; Remote; USD 28,000 - 45,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work arrangements (remote/hyr

Remote/hybrid/work schedule options

Job summary

Centene is seeking a Remote Pharmacy Coordinator to support the Eastern Time operations of our pharmacy program. The role involves provider outreach, claims review, and process improvements to promote adherence and quality.

The ideal candidate has 3+ years of pharmacy experience, strong communication, and comfort with multiple software systems. Indiana experience preferred but other eastern or central time zones will be considered.

Qualifications

• 3+ years of pharmacy experience in a managed care environment preferred.
• Strong communication skills and attention to detail required.
• Comfort navigating multiple software systems and prioritizing tasks.

Responsibilities

• Conduct provider and pharmacy outreach via calls, letters, faxes, and reporting.
• Review pharmacy claims to identify trends and opportunities for adherence improvement.
• Manage prior authorization and formulary processes per guidelines.
• Assist with pharmacy utilization review and reporting activities.
• Educate providers on pharmacy processes and collaborate with Quality Improvement.
• Handle member inquiries and support the pharmacy network operations.

Skills

Pharmacy experience

Communication skills

Organized and detail-oriented

Multi-system software navigation

Prioritization and task management

Education

High school diploma or equivalent

Tools

Web-based analysis tools

Pharmacy management software

Proprietary software systems

Job description

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.

• 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.
• 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

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.

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

At Centene, we connect people to the care they need to live healthier lives - and the work you do here makes that impact real every day. You'll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It's work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

• competitive pay
• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• 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.

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