- Perform duties to support the development, coordination and maintenance of the pharmacy program.
- Review benefit/formulary setup and testing (new and year over year).
- Conduct claims analysis
- Troubleshoot requests/issues related to benefit setup.
- Support upkeep with maintenance of business request, including updating benefit master grid, submitting and resolving requests/issues through third party portal, validate test files to ensure implementation intent.
- Researching of issues reported, interpreting/deciphering requests, internal documents, and (or) comments/responses from internal/external partners, navigating systems (i.e., Reclaim, Client Care Access Portal, FABM SharePoint/Reference Tools).
- MS excel - Validating large volume data (I.e., VLOOKUP)
- Support integration and migration including Medicaid, Ambetter, WellCare, and HealthNet
- Often attend daily meetings
- Support other team members where needed.
-
Fleet Maintenance Operations Coordinator
1 week ago
CITY OF CHEYENNE Cheyenne, United StatesJob DetailsJob Location23 - Fleet Maintenance - Cheyenne, WYPosition TypeFull TimeEducation LevelHigh School or GEDJob CategoryAdmin - ClericalDescriptionOperations CoordinatorJOB TITLE: Operations CoordinatorCLASSIFICATION : Non-Exempt DEPARTMENT : Fleet MaintenanceSUPERVISOR: F ...
-
Fleet Maintenance Operations Coordinator
1 week ago
City of Cheyenne Cheyenne, United States Full timeOperations Coordinator · JOB TITLE: Operations Coordinator · CLASSIFICATION : Non-Exempt · DEPARTMENT : Fleet Maintenance · SUPERVISOR: Fleet Manager · SALARY: $36,135 to $43,362 Annually · GENERAL JOB DESCRIPTION · Provide oversight and direction for all administrative servic ...
-
Assistant Manager
1 week ago
Pita Way Wyoming, United StatesThe assistant team leader is one of the most important roles at Pita Way. This position includes overseeing the stores day to day operations and making sure the staff is running efficiently. You will be working with the Team Leader and coordinating effective solutions to everyday ...
-
Inside Sales Representative
1 week ago
Gordon Food Service Inc Wyoming, United StatesWelcome to Gordon Food Service We are excited that you are thinking about opportunities with us, and we have an amazing story to share. See below for a quick glance of who we are and the impact you could have on the food service industry. There's a seat at our table for you... · ...
-
University of Michigan Health-West Wyoming, United StatesCommunity Events and Volunteer Services Assistant - Volunteer Services · - Days - 40hrs/wk · Requisition #: req8177 · Shift: Days · FTE status: 1 · On-call: No · Weekends: Yes · **General Summary**: · The Community Events and Volunteer Services Assistant supports the day-to-day o ...
-
Manager, Branch
1 day ago
Adapt Health LLC Wyoming, United States: · At AdaptHealth we offer full-service home medical equipment products and services to empower patients to live their best lives - out of the hospital and in their homes. We are actively recruiting in your area. If you are passionate about making a profound impact on the qualit ...
-
Clinical Secretary
5 days ago
University of Michigan Health-West Wyoming, United StatesClinical Secretary - Surgery, Prep, and Recovery · - Days (4:45a-1:15p) - 40hrs/wk · Requisition #: req8172 · Shift: Days · FTE status: 1 · On-call: No · Weekends: No · **General Summary**: · The Clinical Secretary I functions as the focal communication point in the department an ...
-
Dental Office Front Desk
1 week ago
Nelson Family Dental Wyoming, United StatesOur expanding dental practice is looking for another exceptional person to join our amazing front team. Applicants must be friendly, self · - motivated, team oriented, have excellent communication skills and the ability to deliver exceptional patient care. Knowledge of Eaglesoft ...
-
Operating Room Assistant
5 days ago
University of Michigan Health-West Wyoming, United StatesOperating Room Assistant - Operating Room (OR) · - Days - 24 hrs/wk · Requisition #: req8199 · Shift: Days · FTE status: 0.6 · On-call: No · Weekends: Yes · **General Summary**: · Provides support as member of surgical team through transportation of patients, room turnover, inven ...
-
Surgery Scheduler
1 week ago
Grand Rapids Ear, Nose and Throat Wyoming, United States**Join our team where Healthcare is reimagined** · We are looking for a Surgery Scheduler to join our team. We are an established practice that is continually growing. Work with our well-respected group serving the community for many years. Whether starting your career or looking ...
-
Warehouse Associate
13 hours ago
Groundworks Operations, LLC Wyoming, United StatesIt's fun to work in a company where people truly BELIEVE in what they're doing · - We're committed to bringing passion and customer focus to the business._ · **FSM**, A Groundworks Company, specializes in helping homeowners with their foundation repair, basement waterproofing, cr ...
-
Outpatient Registered Nurse 3
1 day ago
Fresenius Medical Care Wyoming, United States Full timePURPOSE AND SCOPE: · Functions as part of the hemodialysis health care team as a Team Leader Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies procedures and training. Support FMCNA's commitment to the Quality Enhanceme ...
-
Regional Pricing and Margin Specialist
1 week ago
Gordon Food Service Inc Wyoming, United StatesWelcome to Gordon Food Service We are excited that you are thinking about opportunities with us, and we have an amazing story to share. See below for a quick glance of who we are and the impact you could have on the food service industry. There's a seat at our table for you... · ...
-
Associate Category Manager
4 days ago
Gordon Food Service Inc Wyoming, United StatesWelcome to Gordon Food Service We are excited that you are thinking about opportunities with us, and we have an amazing story to share. See below for a quick glance of who we are and the impact you could have on the food service industry. There's a seat at our table for you... · ...
-
Director of Purchasing
1 week ago
Weller Truck Parts Wyoming, United States_**Salary begins at $90,000 but may increase based on experience.**_ · **Who We Are**: · Weller Truck Parts began its history in Muskegon, Michigan in 1928 when Harry Weller, a small body shop owner, found value in recycled parts for the auto industry. The small business thrived ...
-
Associate Category Manager
4 days ago
Gordon Food Service Inc Wyoming, United StatesWelcome to Gordon Food Service We are excited that you are thinking about opportunities with us, and we have an amazing story to share. See below for a quick glance of who we are and the impact you could have on the food service industry. There's a seat at our table for you... · ...
-
Patient Registration Specialist
3 days ago
Cherry Health Wyoming, United StatesWorking in an integrated team model, the Patient Registration Specialist will provide excellent customer service to our patients. This is a full-time, benefit-eligible position typically working Monday through Friday between the hours of 8:00 a.m. and 5:00 p.m. Some evenings and ...
-
Cascade Ventures South Greeley, United StatesAbout the Company · We are a globally operating company for mobile measurement technology, DAQ software, engineering services, and test bench technology for the automotive industry as well as for the aerospace and turbines sector. · What do we offer? · Flexible working hours and ...
-
Phlebotomist / Phlebotomy
3 days ago
Campbell County Health Wyoming, MI, United StatesJob Description · ABOUT CAMPBELL COUNTY HEALTH · Campbell County Health (CCH) is the most comprehensive healthcare provider in the State of Wyoming. Certified as an Area Trauma Hospital, Campbell County Health includes Campbell County Memorial Hospital, an acute care, community ...
-
Plant Manager
5 days ago
Tungsten Parts Wyoming Laramie, United StatesTungsten Parts Wyoming (TPW), established in 2004 and headquartered in breath- · taking Laramie, Wyoming. We are a superior defense and space manufacturing · company. A predominate leader in high-quality manufacturing and supplier of tungsten · products, tungsten parts, molybdenu ...
Pharmacy Operations Coordinator I - Cheyenne, United States - Centene Corporation
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: This role will focus on ensuring that the administration of the pharmacy program is accurate and compliant by supporting various operational tasks.
Education/Experience: High School Diploma or GED
2+ 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.
License/Certification: Current state's Pharmacy Technician license preferred
Working shift: M-F 8:00 AM - 4:30 PM (PST /Pacific). Department has PTO/Vacation block from mid-December thru mid or end of January of next year.
Job specific details:
Highly desired skills:
Knowledgeable in pharmacy business manager, enjoys researching (analytical), comprehensive in operating a computer, MS excel, adaptable to change, quick learner, skills in communication, critical-thinking, problem-solving, leadership, relationship-building, and works well independently and part of a team.
Pay Range:
$ $31.73 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.
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.