Pharmacy Technician

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

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.

• 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.

Essential Job Duties

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: $12.19 - $26.42 / HOURLY

• Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.