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

*Applicants for this job have flexibility to work from home anywhere in Michigan. Employees may be eligible for a retention 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 only:

A Pharmacy Technician license is required. (Michigan)

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