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Pharmacy Technician

Molina Healthcare Inc
  • CA
    30+ days ago

    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

    Numbers & Facts

    LocationCA

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