Pharmacy Technician II - Remote Nationwide, Bonus Eligible

Fidelis Care

Houston Texas

United States

Pharmaceutical / Biotechnology
(No Timezone Provided)

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

You could be the one who changes everything for our 25 million members as a Pharmacy Technician II on the Clinical team. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national Fortune 24 and rapidly growing organization, exceptional talent fuels our mission.

Do you thrive in a supportive, result-oriented community and are committed to the relentless pursuit of continuous growth? As part of our clinical group, the member-focused care you deliver will make a difference and change the face of healthcare for Texas. Are you ready to make an impact?

As a Pharmacy Technician II you will:

Track and triage all coverage determination request 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
  • Requirments:

  • High school diploma or equivalent.
  • 1+ years of retail, hospital or mail order pharmacy experience.
  • License/Certification:

    Current state’s Pharmacy Technician license and National Certification preferred.

    About Centene:

    We are an industry leader with a local focus and a global vision:

  • We are a diversified, multi-national, inclusive healthcare company delivering relevant, technology-driven solutions at the global, national, and local levels
  • Listed on Fortune magazine’s World’s Most Admired Companies List for 2nd consecutive year
  • National footprint across all 50 states, serving 1 in 15 individuals in the U.S.
  • Recognized as one of the Best Places to Work by the Human Rights Campaign Foundation
  • Centene is proud to offer competitive benefits for this position. They are available for review at: https://jobs.centene.com/us/en/benefits. The salary range in CO is: $35,360 - $43,680; The salary range in CT is: $37,440 - $45,760.

    Pharmacy Technician II - Remote Nationwide, Bonus Eligible

    Fidelis Care

    Houston Texas

    United States

    Pharmaceutical / Biotechnology

    (No Timezone Provided)

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

    You could be the one who changes everything for our 25 million members as a Pharmacy Technician II on the Clinical team. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national Fortune 24 and rapidly growing organization, exceptional talent fuels our mission.

    Do you thrive in a supportive, result-oriented community and are committed to the relentless pursuit of continuous growth? As part of our clinical group, the member-focused care you deliver will make a difference and change the face of healthcare for Texas. Are you ready to make an impact?

    As a Pharmacy Technician II you will:

    Track and triage all coverage determination request 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
  • Requirments:

  • High school diploma or equivalent.
  • 1+ years of retail, hospital or mail order pharmacy experience.
  • License/Certification:

    Current state’s Pharmacy Technician license and National Certification preferred.

    About Centene:

    We are an industry leader with a local focus and a global vision:

  • We are a diversified, multi-national, inclusive healthcare company delivering relevant, technology-driven solutions at the global, national, and local levels
  • Listed on Fortune magazine’s World’s Most Admired Companies List for 2nd consecutive year
  • National footprint across all 50 states, serving 1 in 15 individuals in the U.S.
  • Recognized as one of the Best Places to Work by the Human Rights Campaign Foundation
  • Centene is proud to offer competitive benefits for this position. They are available for review at: https://jobs.centene.com/us/en/benefits. The salary range in CO is: $35,360 - $43,680; The salary range in CT is: $37,440 - $45,760.