Job 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.

Position Purpose:
Perform duties to support the efforts pharmacy department in the development, coordination and maintenance of the health plan's pharmacy program.

• Assist Provider Relations and various departments with educating providers on the health plan’s pharmacy process

• Assist with the pharmacy quality and reporting process

• Collaborate with Quality Improvement department with various meeting preparation and transcription of minutes

• Assist with members’ inquiries related to the quality gap closure

• Conduct member and provider outreach to support Medicaid quality

• Performs other duties as assigned

• Complies with all policies and standards

For Centene Pharmacy Services:
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.

License/Certificate: Current state's Pharmacy Technician license preferred.

Preferred Qualifications:

• Proficiency in Microsoft Excel

• Demonstrated strong motivational interviewing and member engagement skills

• Ability to interpret and analyze pharmacy claims data to support care or quality initiatives

• Working knowledge of Medicaid quality programs, including NCQA HEDIS measures

Pay Range: $19.43 - $32.98 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, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

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