Pharmacy Technician I – Prior Authorization

🔥 17 minutes ago

🗽 New York – Remote

🗽 New York – Remote

💵 $15 - $27 / hour

⏰ Full Time

🟢 Junior

💊 Pharmacist

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Centene Corporation

WebsiteLinkedInAll Job Openings

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.

📋 Description

• Perform necessary pharmacy services and prescription benefit related functions for internal customers, members, physicians and pharmacies • Triage coverage determination requests submitted from providers through prior authorization system • Review coverage determination 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

🎯 Requirements

• 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

🏖️ Benefits

• Competitive pay • Health insurance • 401K plan • Stock purchase plan • 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 • Benefits may be subject to program eligibility

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