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Pharmacy Technician II (PTCB Required)

Company: Centene Coproration
Location: Fresno
Posted on: November 10, 2019

Job Description:

Description: 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 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

Keywords: Centene Coproration, Fresno , Pharmacy Technician II (PTCB Required), Healthcare , Fresno, California

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