Pharmacy Technician, Clinical/Medication Therapy Mgmt - Remote (Spanish, Vietnamese, Korean preferred)
Columbus, OH jobs
JOB DESCRIPTION Job SummaryProvides support for pharmacy Medication Therapy Management (MTM) activities. Contributes to overarching pharmacy strategy to ensure member access to medically necessary prescription drugs, optimization of medication related health care outcomes, and quality cost-effective member care.
Essential Job Duties
- Collaborates with pharmacists on medication adherence and provides follow-up on identified adherence barriers.
- Performs outreach to members, prescribers and/or pharmacies as needed.
- 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 operational issues and resource needs to appropriate leadership.
- Assists Molina member services, pharmacies, and health plan providers in resolution of member prescription claim, prior authorization, 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, preferably supporting Medication Therapy Management (MTM), 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 establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers.
- 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.
Preferred Qualifications
- Medication Therapy Management (MTM) experience.
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.
Pharmacy Representative
Columbus, OH jobs
JOB DESCRIPTION Job SummaryProvides customer service support for inbound/outbound pharmacy calls from members, providers, and pharmacies. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care.
Essential Job Duties
- Handles and records inbound/outbound pharmacy calls from members, providers and pharmacies in accordance with departmental policies, state regulations, National Committee of Quality Assurance (NCQA) guidelines, and Centers for Medicare and Medicaid Services (CMS) standards.
- Provides coordination and processing of pharmacy prior authorization requests and/or appeals.
- Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other necessary information to providers, members and pharmacies.
- Assists with clerical tasks and other day-to-day pharmacy call center operations as delegated.
- Effectively communicates plan benefit information, including but not limited to: formulary information, copay amounts, pharmacy location services and prior authorization outcomes.
- Assists members and providers with initiating verbal and written coverage determinations and appeals.
- Records calls accurately within the pharmacy call tracking system.
- Maintains established pharmacy call quality and quantity standards.
- Interacts with appropriate primary care providers to ensure member registry is current and accurate.
- Supports pharmacists with completion of comprehensive medication reviews (CMRs)through pre-work up to case preparation.
- Proactively identifies ways to improve pharmacy call center member relations.
Required Qualifications
- At least 1 year related experience, including call center or customer service experience, or equivalent combination of relevant education and experience.
- Excellent customer service skills.
- Ability to work independently when assigned special projects, such as pill box requests, case management referrals, over the counter (OTC) requests, etc.
- Ability to multi-task applications while speaking with members.
- Ability to multi-task applications while speaking with members.
- Ability to develop and maintain positive and effective work relationships with coworkers, clients, members, providers, regulatory agencies, and vendors.
- Ability to meet established deadlines.
- Ability to function independently and manage multiple projects.
- Excellent verbal and written communication skills, including excellent phone etiquette.
- Microsoft Office suite (including Excel), and applicable software program(s) proficiency.
Preferred Qualifications
- 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.
- Health care industry experience.
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 - $28.82 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Pharmacy Representative
Columbus, OH jobs
JOB DESCRIPTION Job SummaryProvides customer service support for inbound/outbound pharmacy calls from members, providers, and pharmacies. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care.
Essential Job Duties
* Handles and records inbound/outbound pharmacy calls from members, providers and pharmacies in accordance with departmental policies, state regulations, National Committee of Quality Assurance (NCQA) guidelines, and Centers for Medicare and Medicaid Services (CMS) standards.
* Provides coordination and processing of pharmacy prior authorization requests and/or appeals.
* Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other necessary information to providers, members and pharmacies.
* Assists with clerical tasks and other day-to-day pharmacy call center operations as delegated.
* Effectively communicates plan benefit information, including but not limited to: formulary information, copay amounts, pharmacy location services and prior authorization outcomes.
* Assists members and providers with initiating verbal and written coverage determinations and appeals.
* Records calls accurately within the pharmacy call tracking system.
* Maintains established pharmacy call quality and quantity standards.
* Interacts with appropriate primary care providers to ensure member registry is current and accurate.
* Supports pharmacists with completion of comprehensive medication reviews (CMRs)through pre-work up to case preparation.
* Proactively identifies ways to improve pharmacy call center member relations.
Required Qualifications
* At least 1 year related experience, including call center or customer service experience, or equivalent combination of relevant education and experience.
* Excellent customer service skills.
* Ability to work independently when assigned special projects, such as pill box requests, case management referrals, over the counter (OTC) requests, etc.
* Ability to multi-task applications while speaking with members.
* Ability to multi-task applications while speaking with members.
* Ability to develop and maintain positive and effective work relationships with coworkers, clients, members, providers, regulatory agencies, and vendors.
* Ability to meet established deadlines.
* Ability to function independently and manage multiple projects.
* Excellent verbal and written communication skills, including excellent phone etiquette.
* Microsoft Office suite (including Excel), and applicable software program(s) proficiency.
Preferred Qualifications
* 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.
* Health care industry experience.
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 - $28.82 / HOURLY
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pharmacy Technician, Clinical/Medication Therapy Mgmt - Remote (Spanish, Vietnamese, Korean preferred)
Cleveland, OH jobs
JOB DESCRIPTION Job SummaryProvides support for pharmacy Medication Therapy Management (MTM) activities. Contributes to overarching pharmacy strategy to ensure member access to medically necessary prescription drugs, optimization of medication related health care outcomes, and quality cost-effective member care.
Essential Job Duties
- Collaborates with pharmacists on medication adherence and provides follow-up on identified adherence barriers.
- Performs outreach to members, prescribers and/or pharmacies as needed.
- 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 operational issues and resource needs to appropriate leadership.
- Assists Molina member services, pharmacies, and health plan providers in resolution of member prescription claim, prior authorization, 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, preferably supporting Medication Therapy Management (MTM), 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 establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers.
- 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.
Preferred Qualifications
- Medication Therapy Management (MTM) experience.
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.
Pharmacy Technician, Clinical/Medication Therapy Mgmt - Remote (Spanish, Vietnamese, Korean preferred)
Cincinnati, OH jobs
JOB DESCRIPTION Job SummaryProvides support for pharmacy Medication Therapy Management (MTM) activities. Contributes to overarching pharmacy strategy to ensure member access to medically necessary prescription drugs, optimization of medication related health care outcomes, and quality cost-effective member care.
Essential Job Duties
- Collaborates with pharmacists on medication adherence and provides follow-up on identified adherence barriers.
- Performs outreach to members, prescribers and/or pharmacies as needed.
- 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 operational issues and resource needs to appropriate leadership.
- Assists Molina member services, pharmacies, and health plan providers in resolution of member prescription claim, prior authorization, 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, preferably supporting Medication Therapy Management (MTM), 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 establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers.
- 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.
Preferred Qualifications
- Medication Therapy Management (MTM) experience.
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.
Pharmacy Technician, Clinical/Medication Therapy Mgmt - Remote (Spanish, Vietnamese, Korean preferred)
Akron, OH jobs
JOB DESCRIPTION Job SummaryProvides support for pharmacy Medication Therapy Management (MTM) activities. Contributes to overarching pharmacy strategy to ensure member access to medically necessary prescription drugs, optimization of medication related health care outcomes, and quality cost-effective member care.
Essential Job Duties
- Collaborates with pharmacists on medication adherence and provides follow-up on identified adherence barriers.
- Performs outreach to members, prescribers and/or pharmacies as needed.
- 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 operational issues and resource needs to appropriate leadership.
- Assists Molina member services, pharmacies, and health plan providers in resolution of member prescription claim, prior authorization, 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, preferably supporting Medication Therapy Management (MTM), 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 establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers.
- 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.
Preferred Qualifications
- Medication Therapy Management (MTM) experience.
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.
Pharmacy Technician, Clinical/Medication Therapy Mgmt - Remote (Spanish, Vietnamese, Korean preferred)
Houston, TX jobs
JOB DESCRIPTION Job SummaryProvides support for pharmacy Medication Therapy Management (MTM) activities. Contributes to overarching pharmacy strategy to ensure member access to medically necessary prescription drugs, optimization of medication related health care outcomes, and quality cost-effective member care.
Essential Job Duties
- Collaborates with pharmacists on medication adherence and provides follow-up on identified adherence barriers.
- Performs outreach to members, prescribers and/or pharmacies as needed.
- 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 operational issues and resource needs to appropriate leadership.
- Assists Molina member services, pharmacies, and health plan providers in resolution of member prescription claim, prior authorization, 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, preferably supporting Medication Therapy Management (MTM), 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 establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers.
- 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.
Preferred Qualifications
- Medication Therapy Management (MTM) experience.
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.
Pharmacy Representative
Cleveland, OH jobs
JOB DESCRIPTION Job SummaryProvides customer service support for inbound/outbound pharmacy calls from members, providers, and pharmacies. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care.
Essential Job Duties
- Handles and records inbound/outbound pharmacy calls from members, providers and pharmacies in accordance with departmental policies, state regulations, National Committee of Quality Assurance (NCQA) guidelines, and Centers for Medicare and Medicaid Services (CMS) standards.
- Provides coordination and processing of pharmacy prior authorization requests and/or appeals.
- Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other necessary information to providers, members and pharmacies.
- Assists with clerical tasks and other day-to-day pharmacy call center operations as delegated.
- Effectively communicates plan benefit information, including but not limited to: formulary information, copay amounts, pharmacy location services and prior authorization outcomes.
- Assists members and providers with initiating verbal and written coverage determinations and appeals.
- Records calls accurately within the pharmacy call tracking system.
- Maintains established pharmacy call quality and quantity standards.
- Interacts with appropriate primary care providers to ensure member registry is current and accurate.
- Supports pharmacists with completion of comprehensive medication reviews (CMRs)through pre-work up to case preparation.
- Proactively identifies ways to improve pharmacy call center member relations.
Required Qualifications
- At least 1 year related experience, including call center or customer service experience, or equivalent combination of relevant education and experience.
- Excellent customer service skills.
- Ability to work independently when assigned special projects, such as pill box requests, case management referrals, over the counter (OTC) requests, etc.
- Ability to multi-task applications while speaking with members.
- Ability to multi-task applications while speaking with members.
- Ability to develop and maintain positive and effective work relationships with coworkers, clients, members, providers, regulatory agencies, and vendors.
- Ability to meet established deadlines.
- Ability to function independently and manage multiple projects.
- Excellent verbal and written communication skills, including excellent phone etiquette.
- Microsoft Office suite (including Excel), and applicable software program(s) proficiency.
Preferred Qualifications
- 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.
- Health care industry experience.
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 - $28.82 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Pharmacy Representative
Cleveland, OH jobs
JOB DESCRIPTION Job SummaryProvides customer service support for inbound/outbound pharmacy calls from members, providers, and pharmacies. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care.
Essential Job Duties
* Handles and records inbound/outbound pharmacy calls from members, providers and pharmacies in accordance with departmental policies, state regulations, National Committee of Quality Assurance (NCQA) guidelines, and Centers for Medicare and Medicaid Services (CMS) standards.
* Provides coordination and processing of pharmacy prior authorization requests and/or appeals.
* Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other necessary information to providers, members and pharmacies.
* Assists with clerical tasks and other day-to-day pharmacy call center operations as delegated.
* Effectively communicates plan benefit information, including but not limited to: formulary information, copay amounts, pharmacy location services and prior authorization outcomes.
* Assists members and providers with initiating verbal and written coverage determinations and appeals.
* Records calls accurately within the pharmacy call tracking system.
* Maintains established pharmacy call quality and quantity standards.
* Interacts with appropriate primary care providers to ensure member registry is current and accurate.
* Supports pharmacists with completion of comprehensive medication reviews (CMRs)through pre-work up to case preparation.
* Proactively identifies ways to improve pharmacy call center member relations.
Required Qualifications
* At least 1 year related experience, including call center or customer service experience, or equivalent combination of relevant education and experience.
* Excellent customer service skills.
* Ability to work independently when assigned special projects, such as pill box requests, case management referrals, over the counter (OTC) requests, etc.
* Ability to multi-task applications while speaking with members.
* Ability to multi-task applications while speaking with members.
* Ability to develop and maintain positive and effective work relationships with coworkers, clients, members, providers, regulatory agencies, and vendors.
* Ability to meet established deadlines.
* Ability to function independently and manage multiple projects.
* Excellent verbal and written communication skills, including excellent phone etiquette.
* Microsoft Office suite (including Excel), and applicable software program(s) proficiency.
Preferred Qualifications
* 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.
* Health care industry experience.
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 - $28.82 / HOURLY
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pharmacy Technician, Clinical/Medication Therapy Mgmt - Remote (Spanish, Vietnamese, Korean preferred)
Long Beach, CA jobs
JOB DESCRIPTION Job SummaryProvides support for pharmacy Medication Therapy Management (MTM) activities. Contributes to overarching pharmacy strategy to ensure member access to medically necessary prescription drugs, optimization of medication related health care outcomes, and quality cost-effective member care.
Essential Job Duties
• Collaborates with pharmacists on medication adherence and provides follow-up on identified adherence barriers.
• Performs outreach to members, prescribers and/or pharmacies as needed.
• 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 operational issues and resource needs to appropriate leadership.
• Assists Molina member services, pharmacies, and health plan providers in resolution of member prescription claim, prior authorization, 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, preferably supporting Medication Therapy Management (MTM), 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 establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers.
• 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.
Preferred Qualifications
• Medication Therapy Management (MTM) experience.
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
Auto-ApplyPharmacy Representative
Cincinnati, OH jobs
JOB DESCRIPTION Job SummaryProvides customer service support for inbound/outbound pharmacy calls from members, providers, and pharmacies. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care.
Essential Job Duties
- Handles and records inbound/outbound pharmacy calls from members, providers and pharmacies in accordance with departmental policies, state regulations, National Committee of Quality Assurance (NCQA) guidelines, and Centers for Medicare and Medicaid Services (CMS) standards.
- Provides coordination and processing of pharmacy prior authorization requests and/or appeals.
- Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other necessary information to providers, members and pharmacies.
- Assists with clerical tasks and other day-to-day pharmacy call center operations as delegated.
- Effectively communicates plan benefit information, including but not limited to: formulary information, copay amounts, pharmacy location services and prior authorization outcomes.
- Assists members and providers with initiating verbal and written coverage determinations and appeals.
- Records calls accurately within the pharmacy call tracking system.
- Maintains established pharmacy call quality and quantity standards.
- Interacts with appropriate primary care providers to ensure member registry is current and accurate.
- Supports pharmacists with completion of comprehensive medication reviews (CMRs)through pre-work up to case preparation.
- Proactively identifies ways to improve pharmacy call center member relations.
Required Qualifications
- At least 1 year related experience, including call center or customer service experience, or equivalent combination of relevant education and experience.
- Excellent customer service skills.
- Ability to work independently when assigned special projects, such as pill box requests, case management referrals, over the counter (OTC) requests, etc.
- Ability to multi-task applications while speaking with members.
- Ability to multi-task applications while speaking with members.
- Ability to develop and maintain positive and effective work relationships with coworkers, clients, members, providers, regulatory agencies, and vendors.
- Ability to meet established deadlines.
- Ability to function independently and manage multiple projects.
- Excellent verbal and written communication skills, including excellent phone etiquette.
- Microsoft Office suite (including Excel), and applicable software program(s) proficiency.
Preferred Qualifications
- 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.
- Health care industry experience.
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 - $28.82 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Pharmacy Representative
Akron, OH jobs
JOB DESCRIPTION Job SummaryProvides customer service support for inbound/outbound pharmacy calls from members, providers, and pharmacies. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care.
Essential Job Duties
- Handles and records inbound/outbound pharmacy calls from members, providers and pharmacies in accordance with departmental policies, state regulations, National Committee of Quality Assurance (NCQA) guidelines, and Centers for Medicare and Medicaid Services (CMS) standards.
- Provides coordination and processing of pharmacy prior authorization requests and/or appeals.
- Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other necessary information to providers, members and pharmacies.
- Assists with clerical tasks and other day-to-day pharmacy call center operations as delegated.
- Effectively communicates plan benefit information, including but not limited to: formulary information, copay amounts, pharmacy location services and prior authorization outcomes.
- Assists members and providers with initiating verbal and written coverage determinations and appeals.
- Records calls accurately within the pharmacy call tracking system.
- Maintains established pharmacy call quality and quantity standards.
- Interacts with appropriate primary care providers to ensure member registry is current and accurate.
- Supports pharmacists with completion of comprehensive medication reviews (CMRs)through pre-work up to case preparation.
- Proactively identifies ways to improve pharmacy call center member relations.
Required Qualifications
- At least 1 year related experience, including call center or customer service experience, or equivalent combination of relevant education and experience.
- Excellent customer service skills.
- Ability to work independently when assigned special projects, such as pill box requests, case management referrals, over the counter (OTC) requests, etc.
- Ability to multi-task applications while speaking with members.
- Ability to multi-task applications while speaking with members.
- Ability to develop and maintain positive and effective work relationships with coworkers, clients, members, providers, regulatory agencies, and vendors.
- Ability to meet established deadlines.
- Ability to function independently and manage multiple projects.
- Excellent verbal and written communication skills, including excellent phone etiquette.
- Microsoft Office suite (including Excel), and applicable software program(s) proficiency.
Preferred Qualifications
- 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.
- Health care industry experience.
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 - $28.82 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Pharmacy Representative
Akron, OH jobs
JOB DESCRIPTION Job SummaryProvides customer service support for inbound/outbound pharmacy calls from members, providers, and pharmacies. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care.
Essential Job Duties
* Handles and records inbound/outbound pharmacy calls from members, providers and pharmacies in accordance with departmental policies, state regulations, National Committee of Quality Assurance (NCQA) guidelines, and Centers for Medicare and Medicaid Services (CMS) standards.
* Provides coordination and processing of pharmacy prior authorization requests and/or appeals.
* Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other necessary information to providers, members and pharmacies.
* Assists with clerical tasks and other day-to-day pharmacy call center operations as delegated.
* Effectively communicates plan benefit information, including but not limited to: formulary information, copay amounts, pharmacy location services and prior authorization outcomes.
* Assists members and providers with initiating verbal and written coverage determinations and appeals.
* Records calls accurately within the pharmacy call tracking system.
* Maintains established pharmacy call quality and quantity standards.
* Interacts with appropriate primary care providers to ensure member registry is current and accurate.
* Supports pharmacists with completion of comprehensive medication reviews (CMRs)through pre-work up to case preparation.
* Proactively identifies ways to improve pharmacy call center member relations.
Required Qualifications
* At least 1 year related experience, including call center or customer service experience, or equivalent combination of relevant education and experience.
* Excellent customer service skills.
* Ability to work independently when assigned special projects, such as pill box requests, case management referrals, over the counter (OTC) requests, etc.
* Ability to multi-task applications while speaking with members.
* Ability to multi-task applications while speaking with members.
* Ability to develop and maintain positive and effective work relationships with coworkers, clients, members, providers, regulatory agencies, and vendors.
* Ability to meet established deadlines.
* Ability to function independently and manage multiple projects.
* Excellent verbal and written communication skills, including excellent phone etiquette.
* Microsoft Office suite (including Excel), and applicable software program(s) proficiency.
Preferred Qualifications
* 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.
* Health care industry experience.
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 - $28.82 / HOURLY
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pharmacy Representative
Cincinnati, OH jobs
JOB DESCRIPTION Job SummaryProvides customer service support for inbound/outbound pharmacy calls from members, providers, and pharmacies. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care.
Essential Job Duties
* Handles and records inbound/outbound pharmacy calls from members, providers and pharmacies in accordance with departmental policies, state regulations, National Committee of Quality Assurance (NCQA) guidelines, and Centers for Medicare and Medicaid Services (CMS) standards.
* Provides coordination and processing of pharmacy prior authorization requests and/or appeals.
* Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other necessary information to providers, members and pharmacies.
* Assists with clerical tasks and other day-to-day pharmacy call center operations as delegated.
* Effectively communicates plan benefit information, including but not limited to: formulary information, copay amounts, pharmacy location services and prior authorization outcomes.
* Assists members and providers with initiating verbal and written coverage determinations and appeals.
* Records calls accurately within the pharmacy call tracking system.
* Maintains established pharmacy call quality and quantity standards.
* Interacts with appropriate primary care providers to ensure member registry is current and accurate.
* Supports pharmacists with completion of comprehensive medication reviews (CMRs)through pre-work up to case preparation.
* Proactively identifies ways to improve pharmacy call center member relations.
Required Qualifications
* At least 1 year related experience, including call center or customer service experience, or equivalent combination of relevant education and experience.
* Excellent customer service skills.
* Ability to work independently when assigned special projects, such as pill box requests, case management referrals, over the counter (OTC) requests, etc.
* Ability to multi-task applications while speaking with members.
* Ability to multi-task applications while speaking with members.
* Ability to develop and maintain positive and effective work relationships with coworkers, clients, members, providers, regulatory agencies, and vendors.
* Ability to meet established deadlines.
* Ability to function independently and manage multiple projects.
* Excellent verbal and written communication skills, including excellent phone etiquette.
* Microsoft Office suite (including Excel), and applicable software program(s) proficiency.
Preferred Qualifications
* 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.
* Health care industry experience.
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 - $28.82 / HOURLY
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pharmacy Representative
Dayton, OH jobs
JOB DESCRIPTION Job SummaryProvides customer service support for inbound/outbound pharmacy calls from members, providers, and pharmacies. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care.
Essential Job Duties
- Handles and records inbound/outbound pharmacy calls from members, providers and pharmacies in accordance with departmental policies, state regulations, National Committee of Quality Assurance (NCQA) guidelines, and Centers for Medicare and Medicaid Services (CMS) standards.
- Provides coordination and processing of pharmacy prior authorization requests and/or appeals.
- Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other necessary information to providers, members and pharmacies.
- Assists with clerical tasks and other day-to-day pharmacy call center operations as delegated.
- Effectively communicates plan benefit information, including but not limited to: formulary information, copay amounts, pharmacy location services and prior authorization outcomes.
- Assists members and providers with initiating verbal and written coverage determinations and appeals.
- Records calls accurately within the pharmacy call tracking system.
- Maintains established pharmacy call quality and quantity standards.
- Interacts with appropriate primary care providers to ensure member registry is current and accurate.
- Supports pharmacists with completion of comprehensive medication reviews (CMRs)through pre-work up to case preparation.
- Proactively identifies ways to improve pharmacy call center member relations.
Required Qualifications
- At least 1 year related experience, including call center or customer service experience, or equivalent combination of relevant education and experience.
- Excellent customer service skills.
- Ability to work independently when assigned special projects, such as pill box requests, case management referrals, over the counter (OTC) requests, etc.
- Ability to multi-task applications while speaking with members.
- Ability to multi-task applications while speaking with members.
- Ability to develop and maintain positive and effective work relationships with coworkers, clients, members, providers, regulatory agencies, and vendors.
- Ability to meet established deadlines.
- Ability to function independently and manage multiple projects.
- Excellent verbal and written communication skills, including excellent phone etiquette.
- Microsoft Office suite (including Excel), and applicable software program(s) proficiency.
Preferred Qualifications
- 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.
- Health care industry experience.
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 - $28.82 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Pharmacy Representative
Dayton, OH jobs
JOB DESCRIPTION Job SummaryProvides customer service support for inbound/outbound pharmacy calls from members, providers, and pharmacies. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care.
Essential Job Duties
* Handles and records inbound/outbound pharmacy calls from members, providers and pharmacies in accordance with departmental policies, state regulations, National Committee of Quality Assurance (NCQA) guidelines, and Centers for Medicare and Medicaid Services (CMS) standards.
* Provides coordination and processing of pharmacy prior authorization requests and/or appeals.
* Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other necessary information to providers, members and pharmacies.
* Assists with clerical tasks and other day-to-day pharmacy call center operations as delegated.
* Effectively communicates plan benefit information, including but not limited to: formulary information, copay amounts, pharmacy location services and prior authorization outcomes.
* Assists members and providers with initiating verbal and written coverage determinations and appeals.
* Records calls accurately within the pharmacy call tracking system.
* Maintains established pharmacy call quality and quantity standards.
* Interacts with appropriate primary care providers to ensure member registry is current and accurate.
* Supports pharmacists with completion of comprehensive medication reviews (CMRs)through pre-work up to case preparation.
* Proactively identifies ways to improve pharmacy call center member relations.
Required Qualifications
* At least 1 year related experience, including call center or customer service experience, or equivalent combination of relevant education and experience.
* Excellent customer service skills.
* Ability to work independently when assigned special projects, such as pill box requests, case management referrals, over the counter (OTC) requests, etc.
* Ability to multi-task applications while speaking with members.
* Ability to multi-task applications while speaking with members.
* Ability to develop and maintain positive and effective work relationships with coworkers, clients, members, providers, regulatory agencies, and vendors.
* Ability to meet established deadlines.
* Ability to function independently and manage multiple projects.
* Excellent verbal and written communication skills, including excellent phone etiquette.
* Microsoft Office suite (including Excel), and applicable software program(s) proficiency.
Preferred Qualifications
* 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.
* Health care industry experience.
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 - $28.82 / HOURLY
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pharmacy Representative
Ohio jobs
JOB DESCRIPTION Job SummaryProvides customer service support for inbound/outbound pharmacy calls from members, providers, and pharmacies. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care.
Essential Job Duties
- Handles and records inbound/outbound pharmacy calls from members, providers and pharmacies in accordance with departmental policies, state regulations, National Committee of Quality Assurance (NCQA) guidelines, and Centers for Medicare and Medicaid Services (CMS) standards.
- Provides coordination and processing of pharmacy prior authorization requests and/or appeals.
- Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other necessary information to providers, members and pharmacies.
- Assists with clerical tasks and other day-to-day pharmacy call center operations as delegated.
- Effectively communicates plan benefit information, including but not limited to: formulary information, copay amounts, pharmacy location services and prior authorization outcomes.
- Assists members and providers with initiating verbal and written coverage determinations and appeals.
- Records calls accurately within the pharmacy call tracking system.
- Maintains established pharmacy call quality and quantity standards.
- Interacts with appropriate primary care providers to ensure member registry is current and accurate.
- Supports pharmacists with completion of comprehensive medication reviews (CMRs)through pre-work up to case preparation.
- Proactively identifies ways to improve pharmacy call center member relations.
Required Qualifications
- At least 1 year related experience, including call center or customer service experience, or equivalent combination of relevant education and experience.
- Excellent customer service skills.
- Ability to work independently when assigned special projects, such as pill box requests, case management referrals, over the counter (OTC) requests, etc.
- Ability to multi-task applications while speaking with members.
- Ability to multi-task applications while speaking with members.
- Ability to develop and maintain positive and effective work relationships with coworkers, clients, members, providers, regulatory agencies, and vendors.
- Ability to meet established deadlines.
- Ability to function independently and manage multiple projects.
- Excellent verbal and written communication skills, including excellent phone etiquette.
- Microsoft Office suite (including Excel), and applicable software program(s) proficiency.
Preferred Qualifications
- 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.
- Health care industry experience.
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 - $28.82 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Pharmacy Representative
Ohio jobs
JOB DESCRIPTION Job SummaryProvides customer service support for inbound/outbound pharmacy calls from members, providers, and pharmacies. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care.
Essential Job Duties
* Handles and records inbound/outbound pharmacy calls from members, providers and pharmacies in accordance with departmental policies, state regulations, National Committee of Quality Assurance (NCQA) guidelines, and Centers for Medicare and Medicaid Services (CMS) standards.
* Provides coordination and processing of pharmacy prior authorization requests and/or appeals.
* Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other necessary information to providers, members and pharmacies.
* Assists with clerical tasks and other day-to-day pharmacy call center operations as delegated.
* Effectively communicates plan benefit information, including but not limited to: formulary information, copay amounts, pharmacy location services and prior authorization outcomes.
* Assists members and providers with initiating verbal and written coverage determinations and appeals.
* Records calls accurately within the pharmacy call tracking system.
* Maintains established pharmacy call quality and quantity standards.
* Interacts with appropriate primary care providers to ensure member registry is current and accurate.
* Supports pharmacists with completion of comprehensive medication reviews (CMRs)through pre-work up to case preparation.
* Proactively identifies ways to improve pharmacy call center member relations.
Required Qualifications
* At least 1 year related experience, including call center or customer service experience, or equivalent combination of relevant education and experience.
* Excellent customer service skills.
* Ability to work independently when assigned special projects, such as pill box requests, case management referrals, over the counter (OTC) requests, etc.
* Ability to multi-task applications while speaking with members.
* Ability to multi-task applications while speaking with members.
* Ability to develop and maintain positive and effective work relationships with coworkers, clients, members, providers, regulatory agencies, and vendors.
* Ability to meet established deadlines.
* Ability to function independently and manage multiple projects.
* Excellent verbal and written communication skills, including excellent phone etiquette.
* Microsoft Office suite (including Excel), and applicable software program(s) proficiency.
Preferred Qualifications
* 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.
* Health care industry experience.
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 - $28.82 / HOURLY
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pharmacy Technician
Cleveland, OH jobs
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. - 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.
Pharmacy Technician
Cincinnati, OH jobs
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. - 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.