Remote Pharmacy Technician I: Coverage & PA

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

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.