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 de

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