What are the responsibilities and job description for the Pharmacy Networks Specialist I position at Envolve Pharmacy?
You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: This role will focus on ensuring that the administration of the pharmacy program is accurate and compliant by supporting various operational tasks.Perform duties to support the development, coordination and maintenance of the pharmacy program.Conduct UAT and data analysis to aid in the development, coordination and maintenance of the pharmacy program.
Serve as the subject matter expert supporting various pharmacy operations tasks including but not limited to claims, formulary, benefit, and networks.
Perform duties to support the development, coordination and maintenance of the pharmacy program.Education/Experience: High School Diploma or GED Associate’s Degree preferred 3 years of pharmacy experience, preferably in managed care environment Excellent verbal/written communication skills, strong problem solving and analytical skills required. Ability to manage deliverables in a high pace environment. Government sponsored program (Medicare and/or Medicaid) experience preferred. Microsoft Office experience preferred (Excel, Word, PowerPoint, Visio) License/Certification: Current state’s Pharmacy Technician license preferred
Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.
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.