• Pharmacy Provider Liaison

    Actalent (New York, NY)


    Urgent Hiring for Remote "Pharmacy Technician "

    Job Description:

    + Staff will log into phone queue, answer calls from providers, retrieve voicemails, and review reports for any provider & member follow-up calls that need to be conducted. Team members will review prior authorizations to confirm the site of care is appropriate and redirect members to alternative servicing providers when needed based on policy. This will require phone outreach to providers and members.

    + Performance expectations will be based on the quality of customer services to members & providers, site of care review process, and number of successful contacts.

    + This role is unique because it is the first of its kind to launch across Centene’s Enterprise. It has potential for growth as we expand.

    + Position Purpose: Perform duties to act as a liaison between providers, the health plan and Corporate including investigating and resolving provider physician injectable claims issues. Perform training, orientation and coaching for performance improvement within physician practices. Communicate effectively and partner with all internal departments to ensure members and providers have a positive, successful outcome.

     

    Top Skills-

     

    + Customer Service

    + Pharmacy knowledge

    + Patient Care

    + Years of experience required: 3+ years of experience in healthcare

    + Remote, not state specific but EST time zone is preferred to start.

     

    Shift-

     

    Monday to Friday

    -Between 8 AM & 6 PM EST

    Saturday: ½ days on rotation basis -might be involved as the program evolves. Subject to change and have flexibility

    Pay and Benefits

    The pay range for this position is $19.00 - $24.00/hr.

     

    Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

     

    • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)

     

    Workplace Type

     

    This is a fully remote position.

     

    Application Deadline

     

    This position is anticipated to close on Jun 17, 2025.

    About Actalent

    Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.

     

    The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

     

    If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email [email protected] (%[email protected]) for other accommodation options.