Job Description
JOB DESCRIPTION Job Summary
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.
Essential Job Duties
- Performs initial receipt and review of non-formulary or prior authorization requests against pharmacy plan approved criteria; requests additional information from providers as needed to properly evaluate requests.
- Accurately enters approvals or denials of requests.
- 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.
Required Qualifications
- 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). If licensed, license must be active and unrestricted in state of practice.
- 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.
- Excellent verbal and written communication skills.
- Microsoft Office suite (including Excel), and applicable software program(s) proficiency.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $21.16 - $31.71 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Job Tags
Hourly pay, Work experience placement, Work at office,
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