{"id":2216729,"url":"https://alion.io/job/centene-corporation-pharmacy-coordinator","title":"Pharmacy Coordinator","company":{"id":647,"name":"Centene Corporation","domain":"centene.com","url":"https://alion.io/company/centene-corporation","size_band":"201-500","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Workday","truth_index":{"grade":"A","score":100,"open_postings":18,"ghost_share":0,"stale_share":0.111,"repost_share":0,"time_to_fill_p50_days":4,"computed_at":"2026-10-15T05:46:00Z"}},"role":"Administrative","role_family":"Administrative","seniority":"middle","employment_type":"full_time","work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"board_field","remote_working_hours":{"label":"UTC-6 – UTC-5","utc_offset_min":-6,"utc_offset_max":-5},"hiring_geo_confidence":"structured","locations":["United States"],"countries":["US"],"hiring_countries":["US"],"hiring_countries_total":1,"salary":{"min":19,"max":32,"currency":"USD","period":"hour","gross":null,"usd_annual":64000},"salary_estimate":null,"experience_years_min":3,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[],"status":"live","first_seen_at":"2026-10-08T00:00:00Z","employer_posted_date":"2026-10-08","last_verified_at":"2026-10-15T10:58:59Z","board_verified":true,"closed_at":null,"days_open":8,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":8},"description":"Position Purpose: \nPerform duties to support the efforts pharmacy department in the development, coordination and maintenance of the health plan's pharmacy program.\nKey Details: Remote Pharmacy Coordinator role supporting Eastern Time business hours, Monday through Friday from 8:30 AM to 5:00 PM. This position supports the development, coordination, and maintenance of the health plan's pharmacy program through quality-focused outreach and operational support activities. Responsibilities include conducting provider and pharmacy outreach through calls, letters, faxes, and reporting; reviewing pharmacy claims to identify trends and opportunities to improve compliance and medication adherence; and supporting quality-related initiatives. Candidates with prior PBM, health plan, and/or managed care experience are highly preferred. The ideal candidate will have 3+ years pharmacy, strong communication skills, be organized and detail-oriented, comfortable navigating multiple software systems with ability to prioritize and successfully execute multiple tasks to completion. Indiana is highly preferred but will consider other states in eastern and central time zones. Please attach an up-to-date resume that meets Education / Experience requirements to your application.\nReceive and respond to provider and pharmacy calls regarding the prior authorization and formulary process\nPerform review of pharmacy and override process in compliance with pharmaceutical related company and State guidelines\nTrack and trend overrides to ensure criteria have been met, audit for prior authorizations, analyze cost and determine utilization patterns\nResolve complaints and grievances related to the pharmacy network in conjunction with the Pharmacy team\nAssist Provider Relations and various departments with educating providers on the health plan’s pharmacy process\nAssist with the pharmacy utilization review and reporting process\nCollaborate with Quality Improvement department with various meeting preparation and transcription of minutes\nAssist with members’ inquiries related to the formulary process\nPerforms other duties as assigned\nComplies with all policies and standards\nEducation/Experience (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. \nLicense/Certificate: Current state's (Indiana) Pharmacy Technician license preferred.\nPay Range: $19.43 - $32.98 per hourAt Centene, we connect people to the care they need to live healthier lives - and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.\nCentene 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.\nCentene 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.\nQualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act","description_format":"text","description_chars":4262,"description_truncated":false,"requirements":{"experience_years_min":3,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"high_school","optional":false},"security_clearance":false,"languages":[]},"benefits":["401k plan","Health insurance"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Pharmacies","Health Insurance & Benefits"],"lifecycle":[{"event":"open","at":"2026-10-10T08:40:09Z"}],"visa":[],"liveness":{"score":30,"band":"fade","label":"Fading","p_open":1,"p_active":0.667,"p_room":0.45,"age_days":7,"expected_fill_days":4,"reasons":["conf:4","velocity","win:tail","comp:brand"],"computed_at":"2026-10-15T05:46:00Z"},"pay":{"stated_usd_annual":64000,"is_top_pay":false},"html_url":"https://alion.io/job/centene-corporation-pharmacy-coordinator","json_url":"https://alion.io/job/centene-corporation-pharmacy-coordinator.json","meta":{"generated_at":"2026-10-16T01:56:35Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":3141,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-17T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":647},"rest":"https://alion.io/mcp/rest/get_company?id=647"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fcentene-corporation-pharmacy-coordinator"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fcentene-corporation-pharmacy-coordinator"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fcentene-corporation-pharmacy-coordinator"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/centene-corporation-pharmacy-coordinator\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fcentene-corporation-pharmacy-coordinator"}]}