Pharmacy Technician, Clinical Ops Remote
About the position
The Pharmacy Technician, Clinical Operations role at Molina Healthcare is a remote position focused on ensuring compliance with state requirements for pharmacy benefit programs. The position involves managing pharmacy services to guarantee that Molina members have access to necessary prescription drugs while adhering to cost-effective and safe practices. The role encompasses formulary management, clinical pharmacy services, and oversight of medication use policies.
Responsibilities
Accurately and efficiently submits claim system and PBM prior authorization system configuration updates related to pharmacy and medical benefit.
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Participates in the development/administration of programs designed to enhance the utilization of targeted drugs and identify cost-saving pharmacy practices.
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Identifies and reports departmental operational issues and resource needs to appropriate management.
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Performs analyses related to formulary design, utilization management, benefit validation, and prior authorization requirements.
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Prepares and assembles reports and presentations by gathering and interpreting data using PowerPoint, Excel, etc. for team leader review and distribution.
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Serves as recording secretary for committee(s), scheduling meetings, distributing materials, recording, and transcribing meeting minutes.
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Assists Molina Member Services, pharmacies, and health plan providers in resolving member prescription claim, prior authorization, or pharmacy services access issues.
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Articulates Pharmacy Management policies and procedures to pharmacy/health plan providers, other Molina staff, and others as needed.
Requirements
Associates degree
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4+ years' experience as a Pharmacy Technician
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Active Pharmacy Technician Certification
Nice-to-haves
Experience in PBM and/or HealthPlan
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Above average skills in Excel
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Great written and verbal communication skills
Benefits
Competitive benefits and compensation package
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