Pharmacy Technician II
Company: Envolve Pharmacy
Location: Clarksburg
Posted on: May 16, 2022
Job Description:
You could be the one who changes everything for our 25 million
members. Centene is transforming the health of our communities, one
person at a time. As a diversified, multi-national organization,
youll have access to competitive benefits including a fresh
perspective on workplace flexibility.Position Purpose: Track and
triage all coverage determination requests for prior authorizations
and Medicare Part D recipients
- Track and triage coverage determination requests submitted from
providers and determine if a pharmacist review is required
- Obtain verbal authorizations and request detailed clinical
information from prescribers
- Approve coverage determination requests based on defined
criteria
- Enter and document coverage determination request decision into
the PBM system and notify providers and/or members
- Respond to client inquiries regarding authorization approvals
and PBM on-line applications
- Refer coverage determination requests for specialty drugs to
delegated vendor or client for processing
- Contact providers for additional information to facilitate
coverage determination reviews
- Notify physicians, providers and members of coverage
determination request decisionsEducation/Experience: High school
diploma or equivalent. 1+ years of retail, hospital or mail order
pharmacy experience.License/Certification: Current states Pharmacy
Technician license and National Certification preferred.Our
Comprehensive Benefits Package:Flexible work solutions including
remote options, hybrid work schedules and dress
flexibilityCompetitive payPaid Time Off including paid
holidaysHealth insurance coverage for you and dependents401(k) and
stock purchase plansTuition reimbursement and best-in-class
training and developmentMichigan Plan only: A Pharmacy Technician
license preferred.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.by
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Keywords: Envolve Pharmacy, Sacramento , Pharmacy Technician II, Healthcare , Clarksburg, California
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