Pharmacy Technician I (Prior Authorization)

Centene Management Company LLC; New York (NY); Hybrid; USD 22,000 - 38,000; Full time

Job summary

Centene Management Company LLC is seeking a Remote Pharmacy Technician I to support internal customers, members, physicians, and pharmacies. The role operates Monday–Friday, 9:00 a.m.–5:30 p.m., handling triage of coverage determinations and reviewing provider-submitted forms for accuracy.

The ideal candidate has a high school diploma or equivalent, 1+ year of pharmacy experience, and an active Pharmacy Technician license. Fidelis Care requires National Certification within 90 days.

Qualifications

• High school diploma or equivalent.
• 1+ years of pharmacy experience.
• Current state's Pharmacy Technician license.
• For Fidelis Care Only: National Pharmacy Technician Certification Required within 90 days.

Responsibilities

• Triage coverage determinations submitted from providers through prior authorization system.
• Review coverage determinations forms submitted by providers for accuracy and completeness.
• Assist team in researching and resolving problems involving coverage determinations.
• Contact providers for additional information to facilitate the coverage determination review.
• Perform other duties as assigned.

Skills

Pharmacy experience

Education

High school diploma or equivalent

Job description

Position Purpose

Perform necessary pharmacy services and prescription benefit related functions for internal customers, members, physicians and pharmacies.

Key Details

This is a fully remote Pharmacy Technician I role working Monday–Friday, 9:00 a.m.–5:30 p.m. Triage coverage determination requests submitted from providers through prior authorization system. Review coverage determinations forms submitted by providers for accuracy and completeness. Assist team in researching and resolving problems involving coverage determinations. Contact providers for additional information to facilitate the coverage determination review. Perform other duties as assigned.

Education & Experience

High school diploma or equivalent. 1+ years of pharmacy experience.

License & Certification

Current state’s Pharmacy Technician license. For Fidelis Care Only: National Pharmacy Technician Certification Required within 90 days

Pay Range

$15.87 - $27.25 per hour

About Centene

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

Benefits

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Equal Opportunity

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.