Pharmacy Technician II (Appeals) - Remote Nationwide, Bonus Eligible

Company: Envolve Pharmacy
Location: Ruskin
Posted on: January 12, 2022

Job Description:

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 Techinican II (Appeals)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 requiredObtain verbal authorizations and request detailed clinical information from prescribersApprove coverage determination requests based on defined criteriaEnter and document coverage determination request decision into the PBM system and notify providers and/or membersRespond to client inquiries regarding authorization approvals and PBM on-line applicationsRefer coverage determination requests for specialty drugs to delegated vendor or client for processingContact providers for additional information to facilitate coverage determination reviewsNotify physicians, providers and members of coverage determination request decisionsEducation/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.Our Comprehensive Benefits Package:Flexible work solutions including remote options, hybrid work schedules and dress flexibilityCompetitive payPaid Time Off including paid holidaysHealth insurance coverage for you and dependents401(k) and stock purchase plansTuition reimbursement and best-in-class training and developmentCentene is proud to offer competitive benefits for this position. -- -They are available for review at: -- -The salary range in CO is: -- -$35,360 - $43,680; -- -The salary range in CT is: $37,440 - $45,760.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.

Keywords: Envolve Pharmacy, Palmetto , Pharmacy Technician II (Appeals) - Remote Nationwide, Bonus Eligible, Healthcare , Ruskin, Florida