Centene Corporation Implementation Analyst (PBM) in Fresno, California

ProfessionalPosition Purpose:

Provide support to the implementation process from initial benefit setup and/or pharmacy contracting to delivery of services to new and existing clients

Assist with development of new programs and/or change request provide solutions to improve current work processes

Develop an modify project plans, develop process maps, and process flow diagrams implementations

Audit and monitor new network implementations to ensure proper claims adjudication as defined by the benefit enrollment and network change forms

Coordinate communication and integration of implementations with Operations, IT, Clinical Pharmacy and Marketing teams to ensure timely and effective delivery of new client programs

Conduct testing and participate in issue/defect resolution

Work with marketing and communications department to create, and support documentation for clients and networkCoordinate the implementation of new pharmacy benefit management (PBM) products and services for new and existing clients and provider networks.

Education/Experience: Bachelor’s degree in Business Administration, Health Administration, related field or equivalent experience. 3+ years of client implementation experience, preferably in the healthcare or pharmacy benefit management industry.

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.

TITLE: Implementation Analyst (PBM)

LOCATION: Fresno, California

REQNUMBER: 1113337

COMPANY: Business Development & Sales

POSITION TYPE: Professional