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Centene Corporation · 18 hours ago

Pharmacy Operations Coordinator I

Idaho, United States

Full-time

Hybrid

Entry Level

$19.43/hr - $32.98/hr

2+ years exp

Centene Corporation is a diversified national organization focused on healthcare services, and they are seeking a Pharmacy Operations Coordinator I to support the pharmacy program's administration. This role involves ensuring compliance and accuracy in pharmacy benefit management through various operational tasks and analysis.

Hospital & Health Care

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

Performs other duties as assigned

Complies with all policies and standards

Supports pharmacy benefit management, specific to pharmacy benefits

Troubleshoot and resolve request related to pharmacy benefit setup

Research and analyze reported inquiries and issues by interpreting requests, documentations, and communications from internal and external partners

Experience in pharmacy operations and/or PBM pharmacy benefit management environment, highly preferred

Requires managing multiple tasks through a ticketing system and additional responsibilities

Strong ability to analyze and troubleshoot claim issues using available tools and data

Uses excel daily to analyze and validate complex data sets

Intermediate Excel skills (e.g., pivot tables, LOOKUP formulas, data validation, handling large datasets)

Qualification

Pharmacy operations experiencePharmacy benefit managementClaims analysisExcel skillsTroubleshooting skillsAnalytical skillsCommunication skillsTime management