Manager, Pharmacy Technicians

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.

Key Details: This fully remote leadership role may be hired from anywhere within the United States and may require occasional travel.

The Manager, Pharmacy Technicians will have the unique opportunity to help build and lead a new Medication Management team supporting the Mission Simplify Project, driving operational excellence in formulary setup, MedPharm codes, medical claims, and daily operations.

Prior medical claims experience and strong Microsoft Excel skills are required.

Candidates must have, or be able to obtain after hire, a Pharmacy Technician license and be comfortable presenting to leadership.

• 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
• 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

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.

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day.