Job Information
Centene Corporation Pharmacy Ops Coordinator I (Medicare) in Sacramento, California
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Pharmacy Operations Coordinator I (Medicare Eligibility) - Remote (PST)
Position Purpose: This role will focus on ensuring that the administration of the pharmacy program is accurate and compliant by supporting various operational tasks.
Perform duties to support the development, coordination and maintenance of the pharmacy program.
Review benefit(s) and testing (new and year over year).
Conduct claims analysis
Education/Experience: 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 required. Ability to manage deliverables in a high pace environment.
License/Certification: Current state’s Pharmacy Technician license preferred.
Working Shift: 8am - 4:30p PST / Pacific
Job specific details:
Manage Pharmacy Medicare Eligibility tasks related to researching and updating Medicare members to the correct plan to include LIS, DOB, COB, Hospice and other demographic information.
Research incorrect pharmacy data.
Work with internal and external partners to collaborate on correcting member profiles for access to care.
Weekly reporting that will be researched for eligibility errors as well as daily files for submission.
Highly desired:
Pharmacy Medicare
Pharmacy Medicare eligibility
Pharmacy claim(s) denials
Pharmacy research and reporting
Nationally Certified Pharmacy Technician, preferred.
Pay Range: $18.66 - $31.73 per hour
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
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.