Full-Time
MAC Program Support Representative 2
Posted on 8/19/2026
Cencora
10,001+ employees
Global pharmaceutical distribution and services provider
Compensation Overview
$24 - $26/hr
Orange, CA, USA
Hybrid
Hybrid schedule requires two days in the Orange, California office per week.
 Operations & Logistics (1) |
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- A High School Diploma, General Educational Development credential, or equivalent experience is required.
- At least 3 years of experience in customer systems support, customer operations, service operations, order management, case management, or a related field is required.
- Customer service skills are required to resolve common everyday issues and prevent escalations or customer complaints.
- Strong personal organizational skills are required to complete assigned tasks and priorities successfully.
- The ability to work interdependently with other team members to accomplish daily tasks and processes is required.
- The ability to communicate effectively and professionally verbally, non-verbally, and in writing is required.
- Introductory computer skills are required to operate company systems and programs effectively, including Microsoft Word, Microsoft Excel, Microsoft Access, or similar database programs and structures.
- Introductory knowledge and experience using Microsoft Outlook features, including email file retention and retrieval, contact management, and calendar and task tracking tools, is required.
- Receive, identify, and triage all Maximum Allowable Cost requests submitted through the MAC mailbox.
- Perform daily data entry for all MAC requests, additions, and updates, including online submissions and outcome communications.
- Submit weekly research requests to pharmacy benefit management companies and track and follow up on open items.
- Manage the MAC mailbox to ensure timely responses and queue hygiene.
- Create, update, and close MAC cases in applicable systems according to established workflows.
- Monitor case aging and prioritize the pending review queue to minimize backlog.
- Update MAC cases based on pharmacy benefit management company responses and document outcomes accurately for audit and reporting purposes.
- Submit MAC appeals to pharmacy benefit management companies within required timeframes and track submission status and outcomes.
- Challenge unfavorable MAC responses using available program data and appeal pathways.
- Monitor favorable and unfavorable outcome rates and escalate systemic issues or trends to management.
- Serve as the escalation point for complex MAC cases and pharmacy benefit management company disputes.
- Produce bi-weekly and monthly customer-facing MAC reports, including case volume, submission rates, and outcome summaries.
- Track and communicate key MAC performance metrics, including case creation, submission rate, favorable outcome rate, and pending review aging.
- Partner with information technology, operations, and pharmacy benefit management company teams to resolve MAC-related issues affecting customer economics.
- Maintain standard operating procedures, reference materials, and documentation for MAC workflows.
- Flag and escalate systemic MAC pricing issues that may affect program participation or customer retention.
- Certification in information technology service management, customer support, customer relationship management systems, process improvement, or an equivalent certification is preferred.
- Working knowledge or experience with pharmacy benefit management companies and retail pharmacy operations is preferred.
Cencora provides global pharmaceutical distribution and a range of services, including specialty pharmacy, consulting, supply-chain management, patient support programs, and data analytics for healthcare providers, manufacturers, and veterinary practices. It works by combining physical drug distribution with value-added services such as inventory management, regulatory compliance guidance, patient support, and data-driven insights to optimize supply chains and outcomes. The company differentiates itself with an integrated, end-to-end offering that spans distribution, clinical services, analytics, and advisory support to help clients run more efficient operations and lower costs. Its goal is to improve healthcare outcomes by delivering comprehensive pharmaceutical solutions that enable better care and lower overall expenses.
Company Size
10,001+
Company Stage
IPO
Headquarters
Pennsylvania
Founded
1907
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Simplify's Take
What believers are saying
- August 5, 2026: Cencora raised fiscal 2026 EPS guidance to $17.75-$17.95.
- July 31, 2026: Cencora expanded its revolver to $7 billion, extending maturity to 2031.
- Cencora completed $1 billion in share repurchases during Q3, reducing diluted shares to 194 million.
What critics are saying
- Baltimore dropped its opioid case after Maryland's April 2026 ruling vacated Cencora's $152 million verdict.
- Cencora directors still face a $111.3 million opioid settlement, confirming persistent litigation over legacy conduct.
- A California labor class action and heavy debt coverage pressure threaten margins before fiscal 2027.
What makes Cencora unique
- Cencora's specialty platform, including OneOncology and RCA MSOs, drives outsized growth on August 5, 2026.
- Nucleus inventory tools embed Cencora inside specialty physician practices' workflows across 20+ sites.
- Global distribution plus World Courier and European 3PL give Cencora reach beyond U.S. drug flow.
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Benefits
Health Insurance
Dental Insurance
Vision Insurance
Paid Parental Leave
Adoption Assistance
Infertility Coverage
Family Planning Benefits
Behavioral Health Solutions
Professional Development Budget
Training Programs
Company News
Cencora reported second-quarter revenue of $84.75 billion, slightly above analyst estimates of $84.43 billion, representing 5.1% year-on-year growth. Adjusted earnings per share came in at $4.48, beating consensus estimates of $4.35 by 3%. Management attributed the performance to strength in specialty pharmaceuticals, particularly through Management Services Organisations like OneOncology and RCA. CEO Robert Mauch highlighted the company's positioning in specialty care, stating, "Our specialty platform supports growth across the healthcare ecosystem." The company raised its full-year adjusted EPS guidance to $17.85 at the midpoint. Operating margin held steady at 1.3%, matching the same quarter last year. During the earnings call, analysts questioned management about biosimilar opportunities, specialty logistics competition, and potential policy risks from proposed ASP rule changes.
Cencora reported strong third-quarter results for fiscal year 2026, driven by execution across its business units and investments in its specialty positioning. The pharmaceutical distributor achieved double-digit adjusted operating income growth and 12% earnings per share growth in the quarter. The company conducted $1 billion in opportunistic share repurchases during the period. Based on its performance and confidence in continued execution, Cencora raised its fiscal 2026 EPS guidance. President and CEO Robert Mauch credited the results to the company's team members and their commitment to providing solutions for customers. He highlighted the strength of Cencora's portfolio and its pharmaceutical-centric strategy as the company approaches the end of its fiscal year. The earnings call was held on 5 August 2026, with senior leadership including Mauch and CFO Eva Boratto participating.
Cencora and its subsidiary Innomar Strategies have amended their credit agreement, increasing their multi-currency revolving credit facility from $5.5 billion to $7.0 billion. The facility's maturity date has been extended to July 2031. Interest rates on borrowings range from 69.5 to 110 basis points over various term rates, depending on Cencora's public debt ratings. The agreement includes covenants such as a maximum financial leverage ratio. Separately, on 31 July 2026, Cencora amended its receivables securitisation facility, reducing it from $1.5 billion to $1.0 billion whilst increasing the accordion feature from $500 million to $1.0 billion. This gives the company the option to expand commitments by up to $1.0 billion, subject to bank approval.
Wall Street analysts expect Cencora to report quarterly earnings of $4.37 per share, marking a 9.3% year-over-year increase. Revenues are projected to reach $84.89 billion, up 5.2% from the same quarter last year. Over the past 30 days, the consensus earnings per share estimate has been revised upward by 1.3%. Analysts forecast revenue from Total US Healthcare Solutions at $75 billion, representing 2.9% year-over-year growth. International Healthcare Solutions revenue is expected to remain flat at $7.79 billion. Operating income projections show US Healthcare Solutions at $940.87 million and International Healthcare Solutions at $158.45 million. Cencora shares have risen 5.3% over the past month and hold a Zacks Rank of 2, indicating expected outperformance versus the broader market.
CVS Health led health insurance providers in Q1, with revenues of $100.4 billion, up 6.2% year on year and beating analyst expectations by 6.3%. The company exceeded full-year EPS guidance estimates. The 12 health insurance provider stocks tracked reported strong Q1 results overall. Revenues beat consensus estimates by 1.4%, whilst next quarter's guidance was in line. Share prices rose 37.4% on average following the earnings announcements. Cencora performed weakest amongst peers, reporting revenues of $78.36 billion, up 3.8% year on year. This fell short of analyst expectations by 3.9%. The stock has remained flat since reporting and currently trades at $303.53. The industry faces tailwinds from an ageing population and improved data analytics, but regulatory scrutiny on pricing and medical cost inflation may impact margins.