Remote Pharmacy Tech I - Coverage Determinations

Centene Corp.; New York (NY); Remote; USD 22,000 - 38,000; Full time

Job summary

Centene Corp. is seeking a Pharmacy Technician I to perform essential pharmacy and prescription benefit tasks for internal customers, members, physicians, and pharmacies. This fully remote role operates Monday–Friday, 9:00 a.m.–5:30 p.m.

ET, with duties including triaging coverage determinations and reviewing provider submissions. Qualified candidates have a high school diploma or equivalent, 1+ year of pharmacy experience, and an active state Pharmacy Technician license; National Certification

Qualifications

• High school diploma or equivalent.
• 1+ years of pharmacy experience.
• Current state’s Pharmacy Technician license.
• National Pharmacy Technician Certification required within 90 days.

Responsibilities

• 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.

Skills

Pharmacy experience

Education

High school diploma or equivalent

Pharmacy Technician license

Job description

Centene Corp. is seeking a Pharmacy Technician I to perform essential pharmacy and prescription benefit tasks for internal customers, members, physicians, and pharmacies. This fully remote role operates Monday–Friday, 9:00 a.m.–5:30 p.m.

ET, with duties including triaging coverage determinations and reviewing provider submissions. Qualified candidates have a high school diploma or equivalent, 1+ year of pharmacy experience, and an active state Pharmacy Technician license; National Certification