
10,000+ employees
Founded 1984
⚕️ Healthcare Insurance
🤝 Non-profit
🌍 Social Impact
Healthcare Insurance • Non-profit • Social Impact
Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.
🔥 6 minutes ago
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10,000+ employees
Founded 1984
⚕️ Healthcare Insurance
🤝 Non-profit
🌍 Social Impact
Healthcare Insurance • Non-profit • Social Impact
Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.
• Deliver rapid quality and process improvement information to the technicians on their team • Prepare material for and deliver in team meetings • Serve as a subject matter expert for their team • Provide guidance to pharmacy technicians on quality assurance monitoring and productivity standards • Track and triage coverage determination requests submitted from providers • Obtain verbal authorizations and request detailed clinical information from prescribers • Approve coverage determination requests based on defined criteria • 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 • Perform other duties as assigned
• High School diploma/GED • 3+ years of pharmacy experience within managed care, retail, hospital, or mail order pharmacy environment • Exposure to specialty pharmacy prescriptions preferred • Previous experience as a lead in a functional area • Managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff • Current state’s Certified Pharmacy Technician (CPhT) license preferred
• competitive pay • health insurance • 401K and stock purchase plans • tuition reimbursement • paid time off plus holidays • flexible approach to work with remote, hybrid, field or office work schedules
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