Centene Corporation · 3 days ago

Pharmacy Operations Coordinator I (Formulary Maintenance)

Arkansas, United States

Full-time

Onsite

Mid Level

$18.66/hr - $31.73/hr

2+ years exp

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Hospitals and Health Care

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Responsibilities

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.

Ensure all Medicare lines of business are compliant to what is submitted, testing validation remains compliant.

Testing and claims reviews.

Manage Medicare benefits and formulary.

Handle drug lists and drug tiers.

Conduct Excel analysis and analytics.

Qualification

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2+ Years Pharmacy ExperienceManaged Care EnvironmentProblem SolvingAnalytical SkillsVerbal CommunicationWritten Communication Manage DeliverablesPharmacy Technician LicensePBM ExperienceFormulary MaintenanceMedicare KnowledgeTesting ValidationClaims Review ExperienceMicrosoft Office Advanced