Pharmacy Liaison — Provider Relations & Education

Centene Corporation; Yuma (AZ); Hybrid; USD 37,000 - 67,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Remote, hybrid, field or office work

Job summary

Centene Corporation is seeking a liaison to coordinate between providers, the health plan, and corporate offices. The role includes investigating and resolving injectable claims issues and providing training and orientation for performance improvement within physician practices.

Travel is required; sponsorship is not available. A bachelor’s degree in a healthcare-related field is preferred and experience in public relations and pharmacy is valued.

Qualifications

• Bachelor’s degree in a healthcare-related field preferred.
• 3+ years of combined public relations and pharmacy-related experience preferred.
• Claims billing/coding knowledge preferred.

Responsibilities

• Serve as liaison between providers, health plan, and corporate; investigate and resolve provider physician injectable claims issues.
• Act as primary contact for providers on pharmacy concerns; coordinate with health plan and provider groups.
• Conduct monthly face-to-face meetings with providers; document discussions, attendees, and action items; research claims issues on-site.
• Attend weekly meetings with Case Management to address pharmacy or medication concerns.
• Educate providers about pharmacy policies and procedures; provide web education and problem solving as liaison.

Skills

Provider relations

Public relations

Pharmacy knowledge

Communication skills

Training

Education

Bachelor's degree in Healthcare

Tools

Billing software

Job description

Centene Corporation is seeking a liaison to coordinate between providers, the health plan, and corporate offices. The role includes investigating and resolving injectable claims issues and providing training and orientation for performance improvement within physician practices.

Travel is required; sponsorship is not available. A bachelor’s degree in a healthcare-related field is preferred and experience in public relations and pharmacy is valued.