Job description

You could be the one who changes everything for our 26 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: This role will focus on ensuring that the administration of the pharmacy program is accurate and compliant by supporting various operational tasks. This role will serve as the subject matter expert supporting various pharmacy operations tasks including but not limited to claims, formulary, benefit, and networks.

This position requires a strong knowledge of Medicare Part D and Medicare Part B requirements and regulations. As a part of the Medicare formulary and benefits operations team, this position serves as a subject matter expert related to all aspects of member and provider communications and in support of maintenance of business and annual implementation activities. Strong project management and communication skills is required. In addition to working proprietary systems, the position requirements a moderate to advance skill level for Microsoft excel.

Develop and distribute communication materials for members and providers including letters, bulletins, brochures, member handbooks, directories, newsletters and call scripts.
Coordinate review and approval of communication materials with internal subject matter experts, compliance and marketing departments.
Develop, review and revise materials distributed to members while ensuring appropriateness of content and readability.
Develop, revise, monitor and coordinate content changes for the health plan's websites and company intranet.
Maintain knowledge of federal and State regulatory requirements for communications materials.
Coordinate with external vendors for translation of communications materials.
Develop, coordinate approval and distribution of employee communications.

Education/Experience: Highschool Diploma or GED, Bachelor’s degree preferred. 4+ years of pharmacy experience, including 1+ year of managed care experience. Excellent verbal/written communication skills, strong problem solving and analytical skills required. Government sponsored program (Medicare and/or Medicaid) experience preferred. Advanced 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.

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