Pharmacy Liaison - Remote/Travel

Centene Corporation; Yuma (AZ); Hybride; USD 37 000 - 67 000; Plein temps

Avantages offerts par ce poste

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Remote, hybrid, field or office work

Résumé du poste

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.

Responsabilités

• 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.

Connaissances

Provider relations

Public relations

Pharmacy knowledge

Communication skills

Training

Formation

Bachelor's degree in Healthcare

Outils

Billing software

Description du poste

Perform duties to act as a liaison between providers, the health plan and Corporate including investigating and resolving provider physician injectable claims issues. Perform training, orientation and coaching for performance improvement within physician practices. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.

Serve as primary contact for providers serving as a liaison between the provider and the health plan for all pharmacy concerns.

Conduct monthly face to face meetings with the providers documenting discussions, issues, attendees, and action items researching claims issues on-site and routing to the appropriate party for resolution.

Attend weekly meetings with Case Management to assist where needed with pharmacy or medication concerns.

Educate providers regarding policies and procedures related to pharmacy issues; web site education, and problem solving (liaison responsibilities).

Perform Provider orientations (includes writing/updating orientation material when necessary).

Must have a good driving record and the ability to travel.

Complies with all policies and standards.

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

Pay Range: $27.02 - $48.55 per hour

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.

Centene offers a comprehensive benefits package including:

• 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.

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.