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Clinical Audit Coordinator, Pharmacy
Centene CorporationPharmacy Clinical Audit Coordinator role at Centene focusing on pharmacy quality and compliance operations. Auditing prior authorization activities and supporting clinical training initiatives.
Posted 7/20/2026full-timeRemote • Arizona, Florida, Missouri, Texas • 🇺🇸 United StatesJuniorMid-Level💰 $23 - $40 per hourWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in auditing prior authorization activities and quality assurance processes within pharmacy systems. Proficient in training staff and identifying opportunities for process improvement in managed care or healthcare settings.
Highest-signal resume keywords
Certified Pharmacy Technician (CPhT)Audit ExperienceQuality Assurance on MedPharmMicrosoft ExcelMicrosoft Access
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Prior Authorization AuditingData EntryProcess ImprovementClinical TrainingQuality Improvement
Soft Skills
CollaborationCommunicationProblem-Solving
Tools & Technologies
CompassTruCareCareCentral
Certifications & Qualifications
Current State’s LicensureCertified Pharmacy Technician (CPhT)
Industry Keywords
MedicareMedicaidExchange PlansCommercial PlansManaged Care
About the role
Key responsibilities & impact- Audit prior authorization activities
- Identify opportunities for process improvement
- Support clinical training initiatives
- Help maintain the integrity of critical pharmacy systems and data
- Partner with business groups to identify and resolve errors in data and reporting
- Assist with the administration of audit processes and tools related to prior authorizations, appeals, quality improvement, star measurement reviews, inter-rater reliability and data entry
- Assess training needs and identify, select or develop appropriate training programs including training aids and materials
- Assist with training staff in the use of audit tools and identification of patterns or trends that require additional training or corrective action
- Maintain records of training activities and employee progress
- Participate in Quality and Advisory committees or provider education meetings
Requirements
What you’ll need- Pharmacy technician (CPhT) with experience working with Compass, TruCare, or CareCentral
- Quality assurance on MedPharm (TruCare, ComPass and CareCentral) prior authorization requests
- Clinical understanding of Medicare, Medicaid, Exchange and Commercial plans is a plus
- Microsoft Excel & Access
- 2+ years of pharmacy technician experience in a managed care or healthcare setting
- Audit experience preferred
- Current State’s licensure or Certified Pharmacy Technician (CPhT), 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