Vacancy expired!
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 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
- ID: #41094686
- State: Arizona Casagrande 85122 Casagrande USA
- City: Casagrande
- Salary: USD TBD TBD
- Job type: Permanent
- Showed: 2022-05-18
- Deadline: 2022-07-15
- Category: Et cetera