Pharmacy Technician – Formulary & Audit (Remote)

Centene Corporation; Rio (WV); Hybrid; USD 40,000 - 69,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work schedules

Job summary

Centene Corporation is seeking a Pharmacy Technician to support formulary management and audit processes in a healthcare setting. You will review formulary changes, submit requests to Health Net, and maintain status grids while performing quality checks for contract compliance.

You will assist pharmacists with database maintenance, respond to inquiries, and document interactions. A High School diploma or GED and Pharmacy Technician experience are required; licensure is preferred.

Qualifications

• High School diploma or GED required.
• 1 year Pharmacy Technician experience.
• Customer Service/retail experience preferred.
• Valid Pharmacy Technician License preferred.

Responsibilities

• Reviews and processes formulary change requests from Health Net plans.
• Submits and maintains formulary change requests to Health Net’s pharmacy claims processor.
• Generates, maintains and reviews Formulary Status Grids.
• Uses reports to audit formulary status for accuracy and contract compliance.
• Assists Clinical Pharmacist with formulary database maintenance and updates to company web site.
• Performs a variety of assignments for pharmacy audit and recovery functions.
• Reviews paid claims for quantity and/or billing discrepancies; communicates findings to pharmacies.
• Updates Access database with calls, faxes and e-mails.
• Complies with all policies and standards.

Skills

Formulary management

Pharmacy audit

Data entry

Customer service

Education

High School diploma or GED

Tools

Access database

Job description

Centene Corporation is seeking a Pharmacy Technician to support formulary management and audit processes in a healthcare setting. You will review formulary changes, submit requests to Health Net, and maintain status grids while performing quality checks for contract compliance.

You will assist pharmacists with database maintenance, respond to inquiries, and document interactions. A High School diploma or GED and Pharmacy Technician experience are required; licensure is preferred.