Overview
Provides support for pharmacy technician activities. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care.
Shift Available: 12-8:30 PM EST
Performs initial receipt and review of non-formulary or prior authorization requests against pharmacy plan approved criteria; Facilitates prior authorization requests within established pharmacy policies and procedures.
– Participates in the development/administration of pharmacy programs designed to enhance the utilization of targeted drugs and identification of cost-saving pharmacy practices.
– Identifies and reports pharmacy departmental operational issues and resource needs to appropriate leadership.
– Assists Molina member services, pharmacies, and health plan providers in resolving member prescription claims, prior authorizations, and pharmacy service access issues.
– Articulates pharmacy management policies and procedures to pharmacy/health plan providers, Molina staff and others as needed.
At least 2 years pharmacy technician experience, or equivalent combination of relevant education and experience.
– Certified Pharmacy Technician (CPhT) and/or state pharmacy technician license (state specific if state required). Ability to abide by Molina policies.
– Ability to maintain attendance to support required quality and quantity of work.
– Ability to maintain confidentiality and comply with the Health Insurance Portability and Accountability Act (HIPAA).
– Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers.
– Microsoft Office suite (including Excel), and applicable software program(s) proficiency.
Pay Range: $12.19 – $26.42 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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