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Pharmacy Technician II - Order Management

Company: Centene Corporation
Location: Canfield
Posted on: June 22, 2022

Job Description:

You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.

**Pharmacy Technician II - Order Management (Hybrid)**

**Position Purpo** se: 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.

_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 - Order Management

**LOCATION:** Canfield, Ohio

**REQNUMBER:** 1328898

Keywords: Centene Corporation, Canton , Pharmacy Technician II - Order Management, Professions , Canfield, Ohio

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