Pharmacy Operations Coordinator I

Centene Corporation; California (MO); Hybrid; USD 10,000 - 60,000; Full time

Job summary

An established industry player is seeking a Pharmacy Operations Coordinator I to ensure the accuracy and compliance of their pharmacy program. This role involves supporting operational tasks, conducting claims analysis, and maintaining benefit/formulary setups. With a commitment to workplace flexibility, this position offers a comprehensive benefits package, competitive pay, and opportunities for professional growth. If you have a passion for pharmacy operations and are ready to make a difference for millions of members, this is the role for you.

Benefits

Health Insurance

401K

Stock Purchase Plans

Tuition Reimbursement

Paid Time Off

Flexible Work Schedules

Qualifications

• 2+ years of pharmacy experience in a managed care environment preferred.
• Current state’s Pharmacy Technician license preferred.

Responsibilities

• Support the development and maintenance of the pharmacy program.
• Conduct claims analysis and ensure compliance with policies.

Skills

Pharmacy Operations

Claims Analysis

Advanced Excel Skills

Troubleshooting Claim Issues

Education

High School Diploma or GED

2+ years of pharmacy experience

Tools

Excel

Job description

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You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose

This role will focus on ensuring that the administration of the pharmacy program is accurate and compliant by supporting various operational tasks.

• 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.

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.

Preferred Qualifications

• Located in or able to work Pacific Time (PST) hours.
• Advanced Excel skills (e.g., pivot tables, VLOOKUP, data validation, handling large datasets).
• Experience in pharmacy operations or pharmacy benefit management environments.
• Strong ability to analyze and troubleshoot claim issues using available tools and data.

Additional Details

Pay Range: $19.04 - $32.35 per hour.

Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K 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 skills, experience, education, and other factors. Total compensation may include additional incentives.

Centene is an equal opportunity employer committed to diversity. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics.