Pharmacy Coordinator

Centene Corporation Maitland , FL 32751

Posted 11 months ago

Position Purpose: Perform duties to support the efforts pharmacy department in the development, coordination and maintenance of the health plan's pharmacy program.

Receive and respond to provider and pharmacy calls regarding the prior authorization and formulary process

Perform review of pharmacy and override process in compliance with pharmaceutical related company and State guidelines

Track and trend overrides to ensure criteria have been met, audit for prior authorizations, analyze cost and determine utilization patterns

Resolve complaints and grievances related to the pharmacy network in conjunction with the Pharmacy team

Assist Provider Relations and various departments with educating providers on the health plan's pharmacy process

Assist with the pharmacy utilization review and reporting process

Collaborate with Quality Improvement department with various meeting preparation and transcription of minutes

Assist with members' inquiries related to the formulary process Education/Experience: High school diploma or equivalent. 3 years of pharmacy experience, preferably in a managed care environment. Medicare and/or Medicaid experience preferred.

License/Certificate: Current state's Pharmacy Technician license. Pharmacy Technician Certification Board (PTCB) certification is strongly preferred.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.


icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Pharmacy Cashier

Walgreens

Posted 6 days ago

VIEW JOBS 2/12/2020 12:00:00 AM 2020-05-12T00:00 * Models and delivers a distinctive and delightful customer experience. * Registers sales on assigned cash register and provides customers with courteous, fair, friendly, and efficient checkout service. Customer Experience * Engages customers and patients by greeting them and offering assistance with products and services. Resolves customer issues and answers questions to ensure a positive customer experience. * Models and shares customer service best practices with all team members to deliver a distinctive and delightful customer experience, including interpersonal habits (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., offering help proactively, identifying needs, servicing until satisfied, etc.). * Develops strong relationships with most valuable customers. Operations * Registers customer purchases on assigned cash register, collects cash and distributes change as requested; processes voids, returns, rain checks, refunds, and exchanges as needed. * Recommends items for sale to customer and recommends trade-up and/or companion items. Assists with OTC products, and takes customer to aisle when possible. * Operates pharmacy systems to obtain patient prescription status. * Reports, immediately, prescription errors to pharmacist on duty and adheres to Company policies and procedures in relation to pharmacy errors and the Quality Improvement Program. * Keeps counters and shelves clean and well merchandised, takes inventory, and maintains records. Checks in and prices merchandise as required or as directed by store manager or communicated by the shift leader. * Implements Company asset protection procedures to identify and minimize profit loss. * Ensures compliance with state and local laws regarding regulated products (e.g., alcoholic beverages and tobacco products). * Constructs and maintains displays, including promotional, seasonal, super structures, and sale merchandise. Completes resets and revisions as directed. * Has working knowledge of store systems and store equipment. * Assists with exterior and interior maintenance by ensuring clean, neat, orderly store condition and appearance. * Complies with all company policies and procedures; maintains respectful relationships with coworkers. * Completes special assignments and other tasks as assigned. Training & Personal Development * Attends training and completes PPLs requested by Manager or assigned by corporate. Basic Qualifications * Must be fluent in reading, writing, and speaking English. * Requires willingness to work flexible schedule, including evenings and weekend hours. Preferred Qualifications * Prefer six months of experience in a retail environment. * Prefer to have prior work experience with Walgreens. Walgreens Maitland FL

Pharmacy Coordinator

Centene Corporation