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 Coordinator - (Pharmacy Quality Initiatives - Data analysis & Analytics)

Position Purpose:

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

• Track and trend department Quality programs to ensure criteria have been met, analyze cost and determine utilization patterns

• Assist with educating markets on requests about Quality measure data

• Assist with the pharmacy utilization review and reporting process

• Collaborate with Quality Improvement department with various meeting preparation

• Performs other duties as assigned

• Complies with all policies and standards

Additional Job Specific Details:

• Strong excel skills are a must

• Partner in key analytics processes related to Pharmacy Quality Measure performance, quality programs

• Involvement in team dashboard development and enhancements

• Facilitating vendor and internal program reporting

• Understands CMS Quality measures

• Data analysis – Ability to query/sort data to deliver key information to the department manager for executive level updates. 

• Ability to make recommendations to drive Quality performance

• Pharmacy Analytics – data oversight and correct.  Will partner with our analytics team to review current reporting to align with CMS reporting

Working Shift: 8am - 5pm Monday - Friday (In your own time zone)

Education/Experience (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.

* Please attach an up-to-date resume that meets Education / Experience requirements above to your internal application - For this role, please include your Excel, dashboard, reporting, data analysis and/or data analysis tools you have used. *

Pay Range: $19.04 - $32.35 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