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.
Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.
This is a hybrid role with 40-50% travel required to local pharmacies. Qualified candidates must reside in one of the following states: TX, KY, MI, NJ, NY, MS, SC, OR, AZ or CA
Position Purpose:
Primary liaison between internal and external (e.g. Providers and pharmacies) teams to advance pharmacy quality (Part D Patient Safety Measures, HEDIS, PQA, etc.) performance. This position will own a territory and will work closely with strategist(s), trainer(s) pharmacy quality performance manager(s), and health plan partners. Through consistent relationship building, critical thinking and problem solving, this role will strengthen internal/external collaboration success.
- Develop and execute a comprehensive territory external (e.g. provider and pharmacy) engagement plan
- Conduct consistent field visits with external partners to advance operational models' improving pharmacy quality performance
- Collaborate across stakeholders to ensure critical and timely insights that promote external partner's adoption of new concepts and changes
- Accountable for covered external partners' pharmacy quality (Part D Patient Safety Measures, HEDIS, PQA, etc.) performance
- Executive summaries of successes and challenges in external engagement efforts; proactively solutioning or working cross-collaboratively for resolution and associated tracking
- Ability to travel 40% of time
- Performs other duties as assigned.
- Complies with all policies and standards.
Education/Experience:
High School Diploma or GED required
3+ years of pharmacy experience, preferably in a managed care environment required
2+ years experience in business to business (B2B) required
1+ years experience with Medicare and/or Medicaid preferred
1+ years experience with analysis tools or systems (ex: web based, custom, proprietary, etc.) preferred
1+ years experience in the implementation of quality process improvement efforts. *Experience documenting requirements, creating training materials and working directly with end users preferred
Licenses/Certifications:
LPT - Licensed Pharmacy Tech preferred
Pay Range: $23.23 - $39.61 per hourCentene 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
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What We Do
Centene provides healthcare solutions to individuals across the United States with more than 23 million members nationwide.
