Vacancy caducado!
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.Position Purpose: This role will deliver rapid quality and process improvement information to the technicians on their team, prepare material for and deliver in team meetings, and ultimately serving as a subject matter expert for their team.
Responsible for normal day to day performance in operational queues similar to peers
Lead will have added responsibility including but not limited to, delivery of rapid quality and process improvement information to the technicians on their team, preparing material for and delivering team meetings, and ultimately serving as a subject matter expert for their team
Provide guidance to pharmacy technicians on quality assurance monitoring and productivity standards under the supervision of a people leader
Provide recommendations for training needs and assist in developing training manuals and job aids. Train pharmacy technicians on daily tasks under the supervisor of a people leader
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
Education/Experience: High School diploma/GED3+ years of pharmacy technician experience within a retail, hospital, or mail order pharmacy environment. Exposure to specialty pharmacyprescriptions preferred. Previous experience as a lead in a functional area, managing cross functional teams on large scale projects orsupervisory experience including hiring, training, assigning work and managing the performance of staff.License/Certification: Current state’s Certified Pharmacy Technician (CPhT) license preferredPay Range: $21.93 - $37.30 per hourOur Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Vacancy caducado!