Pharmacy Coordinator/Technician

Centene

Job Details

Location: Lenexa, Johnson County, Kansas, USA Posted: Dec 12, 2019

Job Description

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

About Centene

Centene is a multi-line health care enterprise offering Medicaid managed care and specialty services.

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