Centene Corporation

Pharmacist

• Deliver rapid quality and process improvement information to the technicians on their team
• Prepare material for and deliver in team meetings
• Serve as a subject matter expert for their team
• Provide guidance to pharmacy technicians on quality assurance monitoring and productivity standards
• Track and triage coverage determination requests submitted from providers
• Obtain verbal authorizations and request detailed clinical information from prescribers
• Approve coverage determination requests based on defined criteria
• 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
• Perform other duties as assigned

Lead Pharmacy Technician

Operations

• Ensure administration of the pharmacy program is accurate and compliant by supporting various operational tasks
• Perform duties to support the development, coordination and maintenance of the pharmacy program
• Review benefit/formulary setup and testing (new and year over year)
• Conduct claims analysis
• Perform other duties as assigned
• Comply with all policies and standards

Lead Pharmacy Technician

Pharmacy Operations Coordinator