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Centene Corporation Pharmacy Technician II (Call Center) - Remote Michigan, Bonus Eligible in Detroit, Michigan

Applicants for this job have flexibility to work from home anywhere in Michigan. This job is eligible for a $3,000 sign-on bonus.

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, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Pharmacy Technician II (Call Center)

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 decisions

Our Comprehensive Benefits Package:

•Flexible work solutions including remote options, hybrid work schedules and dress flexibility

•Competitive pay

•Paid Time Off including paid holidays

•Health insurance coverage for you and dependents

•401(k) and stock purchase plans

•Tuition reimbursement and best-in-class training and development

Education/Experience :

  • High school diploma or equivalent.

  • 1+ years of retail, hospital or mail order pharmacy experience.

Michigan Plan onl y:

  • A Pharmacy Technician license is required.

Shift: 11:30am - 8pm Monday - Friday (EST)

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.

TITLE: Pharmacy Technician II (Call Center) - Remote Michigan, Bonus Eligible

LOCATION: Detroit, Michigan

REQNUMBER: 1235162

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