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Pharmacy Technician

Centene Corporation
hybridUSD 19 - 33 / hour
Remote-FL; Remote-NY; Remote-TX; Tempe, AZ Posted Aug 28, 2026

About this role

Position Purpose:

  • Reviews and processes formulary change requests from Health Net plans
  • Submits and maintains formulary change requests to Health Net’s pharmacy claims processor
  • Generates, maintains and reviews Formulary Status Grids
  • Uses reports to perform audits and quality checks on the current formulary status for accuracy and contract compliance
  • Assists Clinical Pharmacist with formulary database maintenance and updates to company web site

Pharmacy Audit and Recovery:

  • Performs a variety of assignments required for pharmacy audit and recovery functions
  • Reviews paid claims for quantity and/or billing discrepancies. Corresponds with pharmacies as needed to communicate review finding
  • Faxes inquiries to pharmacies related to review findings
  • Answers in-coming calls and responds appropriately to faxed correspondence from pharmacies

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