
10,000+ employees
Founded 1984
🛡️ Insurance
💼 Consulting
🏥 Healthcare
Insurance • Consulting • Healthcare
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.
🔥 1 minute ago
🐊 Florida – Remote
💵 $70.1k - $126.2k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
💊 Pharmacist
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10,000+ employees
Founded 1984
🛡️ Insurance
💼 Consulting
🏥 Healthcare
Insurance • Consulting • Healthcare
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.
• Manage the triage process of prior authorizations • Supervise pharmacy technicians • Manage departmental work flow • Identify and develop prior authorization procedures and policies • Coordinate with various departments to research and resolve escalated complaints and inquiries • Monitor prior authorization processes and recommend and modify current policies and procedures • Ensure operational integrity and compliance with associated policies and procedures • Monitor prior authorization activities and determine appropriate staffing levels • Oversee department performance and review reports and audit findings • Ensure provider notification letters are communicated accurately and in a timely manner • Oversee quality control checks and provide recommendations for improvement • Communicate with providers and pharmacies to advise clinical outcome of prior authorization requests • Oversee multiple pharmacy systems to track and triage prior authorization requests for Medicaid and coverage determination requests for Medicare D recipients • Determine if a pharmacist review is required • Perform other duties as assigned • Comply with all policies and standards
• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future • Associates degree in related field or equivalent experience • 4+ years of pharmacy technician experience in a mail order prescription facility, hospital pharmacy or retail pharmacy setting • 1+ years of combined lead or supervisory and customer service experience • Current state’s Pharmacy Technician license preferred • National Certification from Pharmacy Technician Certification Board (CPhT) preferred
• Competitive pay • Health insurance • 401K • Stock purchase plans • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Additional forms of incentives may be included in total compensation • Equal opportunity employer committed to diversity
Apply Now🔥 14 minutes ago
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