Pharmacy Operations & Prior Authorization Tech

Molina Healthcare; United States; On-site; USD 17,000 - 36,000; Full time

Job summary

Molina Healthcare is seeking a Pharmacy Technician to support technician activities and contribute to the overarching pharmacy strategy for optimized medication-related outcomes and cost-effective member care.

The role involves initial receipt and review of non-formulary or prior authorization requests, accurate entry of approvals/denials, and facilitating prior authorizations. Excellent communication and compliance with HIPAA are required.

Qualifications

• At least 2 years pharmacy technician experience or equivalent.
• Certified Pharmacy Technician (CPhT) and/or license active and unrestricted.
• Ability to abide by Molina policies.
• Ability to maintain attendance and confidentiality (HIPAA).
• Ability to establish positive relationships with coworkers, members, providers and customers.

Responsibilities

• Provides support for pharmacy technician activities and contributes to pharmacy strategy for optimized outcomes and cost-effective member care.
• Performs initial receipt and review of non-formulary or prior authorization requests against plan criteria; requests additional information as needed.
• Accurately enters approvals or denials of requests.
• Facilitates prior authorization requests within established policies and procedures.
• Participates in development/administration of programs to enhance utilization of targeted drugs and identify cost-saving practices.
• Identifies and reports operational issues and resource needs to leadership.

Skills

Pharmacy technician experience

CPhT certification

HIPAA compliance

Communication skills

Microsoft Office proficiency

Tools

Excel

Job description

Molina Healthcare is seeking a Pharmacy Technician to support technician activities and contribute to the overarching pharmacy strategy for optimized medication-related outcomes and cost-effective member care.

The role involves initial receipt and review of non-formulary or prior authorization requests, accurate entry of approvals/denials, and facilitating prior authorizations. Excellent communication and compliance with HIPAA are required.