Centene Corporation · 2 days ago
Pharmacy Operations Coordinator I (Formulary Maintenance)
Wonder how qualified you are to the job?
Hospitals and Health Care
Insider Connection @Centene Corporation
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
Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.
Required
High School Diploma or GED
2+ years of pharmacy experience, preferably in managed care environment
Excellent verbal/written communication skills
Strong problem solving and analytical skills
Ability to manage deliverables in a high pace environment
Preferred
Current state’s Pharmacy Technician license
PBM - Pharmacy Benefits Management experience
Formulary Maintenance experience
Medicare knowledge
Testing validation and claims review experience
Microsoft Office Advanced (Excel, Outlook, and Word)
Benefits
Health insurance
401K and stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Company
Centene Corporation
Centene Corporation is a leading healthcare enterprise committed to helping people live healthier lives.
Funding
Current Stage
Late StageLeadership Team
Recent News
Business Journals
2024-05-06
FierceHealthcare
2024-04-28
Company data provided by crunchbase