May 19, 2022
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. 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 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...
Envolve Pharmacy
Remote * (Apache Junction, AZ, USA)