Health Services Professional

6 days ago


Austin, Texas, United States Centene Corporation Full time

Career Opportunities at Centene Corporation

We are seeking a dedicated and skilled professional to join our team as a Health Services Professional. In this role, you will support the pharmacy department in developing, coordinating, and maintaining the health plan's pharmacy program.

**Key Responsibilities:**

- Receive and respond to provider and pharmacy calls regarding prior authorization and formulary processes

- Perform reviews of pharmacy overrides 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

**Compensation:** $18.66 - $31.73 per hour. Pay will be adjusted based on individual qualifications and industry standards.

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.



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