Pharmacy Provider Liaison & Training Specialist

Centene Corp.; Arizona; Hybrid; USD 37,000 - 67,000; Full time

Job summary

Centene Corp. in Arizona is seeking a Provider Liaison to coordinate between providers, the health plan, and internal departments, investigating and resolving pharmacy claims issues and supporting performance improvement within physician practices.

The role requires a Bachelor’s degree in a healthcare-related field, 3+ years in public relations and pharmacy experience, knowledge of Medicare/Medicaid, and a valid driver’s license. CPhT license preferred; travel to sites is required.

Qualifications

• Bachelor’s degree in healthcare related field preferred.
• 3+ years of combined public relations and pharmacy related experience.
• Knowledge of health care, managed care, Medicare or Medicaid preferred.
• Claims billing/coding knowledge preferred.
• CPhT license preferred.
• Valid driver’s license required.

Responsibilities

• 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.
• Receive and respond to provider related issues.
• Educate providers regarding policies and procedures related to pharmacy issues; web site education, and problem solving.
• Perform Provider orientations (includes writing/updating orientation material when necessary).
• Must have a good driving record and the ability to travel.
• Perform other duties as assigned.

Skills

Public relations

Pharmacy knowledge

Communication

Travel willingness

Education

Bachelor’s degree in Healthcare related field

Tools

CPhT license

Claims billing/coding knowledge

Job description

Centene Corp. in Arizona is seeking a Provider Liaison to coordinate between providers, the health plan, and internal departments, investigating and resolving pharmacy claims issues and supporting performance improvement within physician practices.

The role requires a Bachelor’s degree in a healthcare-related field, 3+ years in public relations and pharmacy experience, knowledge of Medicare/Medicaid, and a valid driver’s license. CPhT license preferred; travel to sites is required.