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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.

Shift(s) Available: 8-4:30 PM EST or 9-5:30 PM EST

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.