• Supervisor, Pharmacy Technicians

    Centene Corporation Albany, NY 12260

    Job #2279932197

  • You could be the one who changes everything for our 26 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: Track and triage all coverage determination requests for prior authorizations and Medicare Part D recipients. Ensure proper workflow and processes to optimize productivity and meet departmental goals.

    • Monitor daily performance and create reports and audit findings to ensure optimal performance is achieved

    • Ensure provider notification letters are communicated accurately and in a timely manner

    • Monitor incoming calls for quality control checks and provide recommendations for improvement

    • Communicate with providers and pharmacies to advise clinical outcome of prior authorization request

    • Oversee multiple pharmacy systems to track and triage prior authorization requests for Medicaid and coverage determination requests for Medicare D recipients and determine if a pharmacist review is required

    • Assist with complex coverage approvals and determination requests based on defined criteria

    • Develop and deliver training materials for pharmacy technicians on the prior authorization process for Medicaid, Medicare D regulations and other related policies and procedures

    • Work weekend or alternative shifts as needed

    Education/Experience: High school diploma or equivalent. Associate's degree preferred. 4+ years of pharmacy technician experience in a mail order prescription facility, hospital pharmacy or retail pharmacy setting. Previous experience as a lead in a functional area or managing cross functional teams on large scale projects.

    License/Certification: Current state's Pharmacy Technician license and National Certification from Pharmacy Technician Certification Board (CPhT) is preferred.

    New York Pharmacy Technician license and National Certification from Pharmacy Technician Certification Board (CPhT) is required in the state of New York.

    For the North Carolina plan: Position Purpose: Duties include ensuring the service line staff are trained on and compliant with pharmacy clinical covered policies, prior authorization requirement and drug formularies/preferred drug list. Certified Pharmacy Technician registered with the NC Board of Pharmacy. Min of 3 years of pharmacy benefits call center experience.

    Our 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 is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

    TITLE: Supervisor, Pharmacy Technicians

    LOCATION: Various, New York

    REQNUMBER: 1336809