Pharmacy Technician II - Prior Authorization - Remote Nationwide, Bonus Eligible

Fidelis Care

Tampa Florida

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. 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 - Prior Authorization

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.

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

    High Speed Internet required

    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 - Prior Authorization - Remote Nationwide, Bonus Eligible

    Fidelis Care

    Tampa Florida

    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. 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 - Prior Authorization

    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.

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

    High Speed Internet required

    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.