Manager, Pharmacy Technicians (MedPharm)

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. Manager, Pharmacy Technicians (Medicare Part B Operations - Prior Authorization - Medical Pharmacy / MedPharm ) - Remote (EST) Position Purpose: Manage the triage process of prior authorizations, including supervising pharmacy technicians, manage departmental work flow; identify and develop prior authorization procedures and policies. Coordinate with various departments to research and resolve escalated complaints and inquiries Monitor prior authorization processes and recommend and modify current policies and procedures Ensure operational integrity, including compliance with all associated policies and procedures Monitor prior authorization activities and determine appropriate staffing levels Oversee department performance and review reports and audit findings to ensure optimal performance is achieved Ensure provider notification letters are communicated accurately and in a timely manner Oversee quality control checks and provide recommendations for improvement Oversee multiple pharmacy systems to track and triage prior authorization requests for Medicaid and coverage determination requests for Medicare B recipients and determine if a pharmacist review is required Participate in meetings including addressing issues, presenting findings and results. Education/Experience: Associates degree in related field or equivalent experience. 4 years of pharmacy technician experience in a mail order prescription facility, hospital pharmacy or retail pharmacy setting. 1 years of combined lead or supervisory and customer service experience. License/Certification: Current state’s Pharmacy Technician license and National Certification from Pharmacy Technician Certification Board (CPhT) preferred. Hours: 8am – 5pm M-F (Eastern) with weekend rotation as required by the business. Need to be flexible to meet business needs. *Strong leadership, communication, time management and data analysis skills. 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. Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.