Centene Corporation Pharmacy Technician II in Tempe, Arizona

HourlyPosition 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

TITLE: Pharmacy Technician II

LOCATION: Tempe, Arizona

REQNUMBER: 1091620

COMPANY: Health Insurance Operations