Pharmacy Quality Coordinator

Centene Corporation

1d • $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 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.

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
• Ability to travel 40% of time

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.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED