Senior Pharmacy Resolution Specialist

Centene Corporation

Senior Pharmacy Resolution Specialist resolving complex pharmacy-related inquiries for members and providers while working remotely. Handling escalated calls and guiding team members in resolution efforts.

Posted 5/27/2026full-timeRemote • Florida • 🇺🇸 United StatesSenior💰 $19 - $33 per hourWebsite

About the role

Key responsibilities & impact

Act as a subject matter expert and handles more complex pharmacy issues
Respond to escalated calls from members, provider/physician's offices and pharmacies
Make outbound calls and enter pharmacy overrides into systems based on approved guidelines
Take member/prescriber/pharmacist inquiry calls for benefit questions including prior authorization requests
Offer options including submission of a prior authorization request
Thoroughly research issues and takes appropriate action to resolve them
Assist team members often guiding them to the appropriate resolution of more complex inquiries
Participate in training of less experienced staff
Assist with audit preparation as needed

Requirements

What you’ll need

High School Diploma / GED
2 years of experience
Call center / customer service experience
Experience in healthcare environment (pharmacy operations, managed care, pharmacy hospitals and or pharmacy retail settings)
Pharmacy technician certification preferred

Benefits

Comp & perks

competitive pay
health insurance
401K and stock purchase plans
tuition reimbursement
paid time off plus holidays
flexible approach to work with remote, hybrid, field or office work schedules

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

pharmacy operationsmanaged careprior authorizationpharmacy overrides

Soft Skills

problem solvingcommunicationteamworktrainingguidance

Certifications

pharmacy technician certification