[Hiring] Pharmacy Coordinator @Centene Corporation

Role Description

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.

Job-Specific Details:

• Review and respond to fraud, waste, and abuse (FWA) referrals, inquiries, and requests from internal and external stakeholders.
• Support regulatory requests, reporting, and documentation related to FWA investigations and reviews.
• Research and help resolve concerns involving inappropriate billing, waste, and potential FWA activity.
• Communicate with members, providers, and pharmacies to gather information and support preliminary reviews.
• Generate and analyze reports to identify trends, support investigations, and assist with program oversight.
• Contribute to department process improvements and maintain accurate documentation.

Qualifications

• 3+ years of pharmacy technician experience, preferably in a managed care environment. Medicare and/or Medicaid experience preferred.
• Experience in a dispensing pharmacy environment, such as retail, specialty, long-term care, or mail-order pharmacy.
• Strong attention to detail, analytical thinking, and organizational skills.
• Ability to collaborate effectively in a team-oriented environment while managing multiple priorities.
• Proficiency with Microsoft Office applications, including Word, Excel, PowerPoint, and Outlook.
• Excellent verbal and written communication skills with members, providers, pharmacies, and internal stakeholders.
• Someone who brings a positive attitude and has an interest in fraud, waste, and abuse prevention, compliance, and program integrity.

Requirements

• High school diploma or equivalent.
• 3+ years of pharmacy experience, preferably in a managed care environment. Medicare and/or Medicaid experience preferred.
• Prior experience using analysis tools or systems (ex: web based, custom, proprietary, etc.).
• Experience in the implementation of quality process improvement efforts.
• Experience documenting requirements, creating training materials and working directly with end users.
• Current state's Pharmacy Technician license preferred.

Benefits

• Competitive pay
• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• Flexible approach to work with remote, hybrid, field or office work schedules

Company Description

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.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.