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Pharmacy Coordinator

Company: Centene Coproration
Location: Lafayette
Posted on: February 15, 2020

Job Description:

Description: Position Purpose: Perform duties to support the efforts pharmacy department in the development, coordination and maintenance of the health plan's pharmacy program. Receive and respond to provider and pharmacy calls regarding the prior authorization and formulary process Perform review of pharmacy and override process in compliance with pharmaceutical related company and State guidelines Track and trend overrides to ensure criteria have been met, audit for prior authorizations, analyze cost and determine utilization patterns Resolve complaints and grievances related to the pharmacy network in conjunction with the Pharmacy team Assist Provider Relations and various departments with educating providers on the health plan's pharmacy process Assist with the pharmacy utilization review and reporting process Collaborate with Quality Improvement department with various meeting preparation and transcription of minutes Assist with members' inquiries related to the formulary process

Keywords: Centene Coproration, Lafayette , Pharmacy Coordinator, Healthcare , Lafayette, Louisiana

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