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.

Pharmacy Coordinator – Fraud, Waste, and Abuse (FWA) - Remote

Job-Specific Details

Review and respond to fraud, waste, and abuse (FWA) referrals, inquiries, and requests from internal and external stakeholders.
Support regulatory requests, reporting, and documentation related to FWA investigations and reviews.
Research and help resolve concerns involving inappropriate billing, waste, and potential FWA activity.
Communicate with members, providers, and pharmacies to gather information and support preliminary reviews.
Generate and analyze reports to identify trends, support investigations, and assist with program oversight.
Contribute to department process improvements and maintain accurate documentation.

What We’re Looking For

3+ years of pharmacy technician experience,



preferably in a managed care environment. Medicare and/or Medicaid experience preferred.
Experience in a dispensing pharmacy environment, such as retail, specialty, long-term care, or mail-order pharmacy.
Strong attention to detail, analytical thinking, and organizational skills.
Ability to collaborate effectively in a team-oriented environment while managing multiple priorities.
Proficiency with Microsoft Office applications, including Word, Excel, PowerPoint, and Outlook.
Excellent verbal and written communication skills with members, providers, pharmacies, and internal stakeholders.
Someone who brings a positive attitude and has an interest in fraud, waste, and abuse prevention, compliance, and program integrity.

Working Shift: Monday–Friday, 8:00 AM – 4:30 PM. Eastern or Central time, with a 30-minute lunch.

Position Purpose

Perform duties to support the pharmacy department's efforts in the development, coordinatio

📌 Pharmacy Coordinator (Valparaíso)
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