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Centene Corporation

Pharmacy Technician II

Centene Corporation - Orlando, FL


HourlyPosition Purpose: Track and triage all coverage determination requests for prior authorizations and Medicare Part D recipientsTrack 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

7 days 9 hours ago

Centene Corporation

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Pharmacy Technician II Centene Corporation - Orlando, FL, United States

   

Location: Orlando, FL

Company Profile:
Founded as a single health plan in 1984, Centene Corporation (Centene) has established itself as a national leader in the healthcare services field. Today, through a comprehensive portfolio of innovative solutions, we remain deeply committed to delivering results for our stakeholders: state governments, members, providers, uninsured individuals and families, and other healthcare and commercial organizations