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Pharmacy Coordinator II - Remote Florida

Company: Envolve Pharmacy
Location: Clearwater
Posted on: January 12, 2022

Job Description:

Remote Florida, Hybrid available, if preferred You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.Pharmacy Coordinator IIPosition Purpose: Perform duties to support the efforts pharmacy department in the development, coordination and maintenance of the health plan's pharmacy program. Provides support for escalated issues and special projects as assigned.Receive and respond to provider, member, and pharmacy calls regarding the prior authorization and formulary processPerform review of pharmacy and override process in compliance with pharmaceutical related company and State guidelinesTrack and trend overrides to ensure criteria have been met, audit for prior authorizations, analyze cost and determine utilization patternsResolve complaints and grievances related to the pharmacy network in conjunction with the Pharmacy teamAssist Provider Relations and various departments with educating providers on the health plan's pharmacy processAssist with the pharmacy utilization review and reporting processAssist with the training and retention of employeesAssist with process improvements as neededOur Comprehensive Benefits Package:Flexible work solutions including remote options, hybrid work schedules and dress flexibilityCompetitive payPaid Time Off including paid holidaysHealth insurance coverage for you and dependents401(k) and stock purchase plansTuition reimbursement and best-in-class training and developmentEducation/Experience: High school diploma or equivalent. 5+ years of pharmacy experience, including 1+ years of managed care experience. Medicare and/or Medicaid experience.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.

Keywords: Envolve Pharmacy, Clearwater , Pharmacy Coordinator II - Remote Florida, Healthcare , Clearwater, Florida

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