Pharmacy Coordinator
Location: Olathe, Kansas
Description: Centene Corporation is employing Pharmacy Coordinator right now, this career will be reside in Kansas. Further informations about this career opportunity kindly read the description below. Position Purpose:
Perform duties to support the efforts of the Director of Pharmacy in the development, coordination and maintenance of the health plan’s pharmacy program.
Knowledge/Experie! nce:
Equivalent to a high school education. 1 â€" 3 years of general office/administrative, pharmacy and/or pharmaceuticals experience in a managed care or insurance environment. Medicare and/or Medicaid experience preferred.
Position Responsibilities:
- Receive and respond to provider and pharmacy calls regarding the prior authorization/formulary process.
- Perform review of pharmacy and override process in compliance with pharmaceutical related company and State guidelines.
- Track and trend overrides in a spreadsheet format to ensure criteria have been met, audit for prior authorizations, analyze cost and determine utilization patterns.
- May assist the Plan Pharmacist with administrative tasks.
- Resolve complaints/grievances related to the pharmacy network in conjunction with the Pharmacy Benefit Manager (PBM) and Plan Pharmacist.
- Assist Provider Relations staff and other departments with educating! providers and others on the health plan’s pharmacy process.!
- Assist the Pharmacy Director with the pharmacy utilization review and reporting process.
- Collaborate with Quality Improvement (QI) Manager for various meeting preparation and transcription of minutes.
- Assist Case Managers with members’ inquiries related to the formulary process.
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If you were eligible to this career, please email us your resume, with salary requirements and a resume to Centene Corporation.
Interested on this career, just click on the Apply button, you will be redirected to the official website
This career will be opened on: Wed, 10 Apr 2013 18:08:16 GMT
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