Pharmacy Quality Coordinator

Centene Corporation

10d•$23 - $40•Hybrid

About The Position

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 Kentucky 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.

Requirements

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

Nice To Haves

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
LPT - Licensed Pharmacy Tech preferred

Responsibilities

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.