Pharmacy Technician, Clinical/Medication Therapy Mgmt (Remote)

Molina Healthcare; Northern (KY); Hybrid; USD 17,000 - 36,000; Full time

Benefits offered by this job

Fully remote

Job summary

Molina Healthcare is hiring Pharmacy Technicians for our Clinical/MTM Department. This is a fully remote position in the United States.

The role focuses on outbound calls to members about adherence and pickup needs, coordinating refills with pharmacies, and supporting provider communication to optimize member care. Essential duties include outreach to members and providers, collaboration with pharmacists on adherence, and handling prescription claim issues.

Qualifications

• Must be a licensed or certified Pharmacy Technician.
• At least 2 years pharmacy technician experience, preferably MTM.
• MTM experience preferred if possible; other relevant experience acceptable.

Responsibilities

• Make outbound calls to members regarding medication adherence and pickup needs.
• Coordinate prescription refills with pharmacies and communicate with providers to support member care.
• Perform outreach to members, prescribers and pharmacies as needed.
• Assist in resolving member prescription claim, prior authorization, and service access issues.
• Collaborate with pharmacists on adherence and identify barriers.

Skills

Verbal/written communication

MTM experience

HIPAA compliance

Microsoft Teams

Microsoft Excel

Education

CPhT license

Tools

Microsoft Excel

Microsoft Teams

Job description

Molina Healthcare is hiring Pharmacy Technicians in our Clinical/MTM Department. This is a fully remote position.

This position will make outbound calls to members regarding medication adherence and prescription pick-up needs, contact pharmacies to coordinate prescription refills. You will also communicate with providers as needed to support member care, handle inbound calls on occasion, though the role is primarily outbound focused.

Schedule for this position will be Monday through Friday 10:00 AM – 6:30 PM MST

Bilingual is not required however preferred languages are Spanish, Vietnamese, Arabic, Creole, French, Cantonese or Mandarin.

Highly Qualified Candidates will have the following:

• Must be a licensed or certified Pharmacy Technician.
• Solid/stable work history desired
• Previous Managed Care experience is strongly preferred.
• Candidates without Managed Care experience may still be considered if they have experience with MTM, medication adherence programs, retail pharmacy operations, or call center environments.
• Proficiency with Microsoft Excel, including filtering and basic spreadsheet functions, is needed.
• Must be comfortable using Microsoft Teams.
• Familiarity with diabetes and cholesterol medications is preferred.

Provides support for pharmacy Medication Therapy Management (MTM) activities. Contributes to overarching pharmacy strategy to ensure member access to medically necessary prescription drugs, optimization of medication related health care outcomes, and quality cost-effective member care.

Essential Job Duties

• Collaborates with pharmacists on medication adherence and provides follow-up on identified adherence barriers.
• Performs outreach to members, prescribers and/or pharmacies as needed.
• 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 operational issues and resource needs to appropriate leadership.
• Assists Molina member services, pharmacies, and health plan providers in resolution of member prescription claim, prior authorization, 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, preferably supporting Medication Therapy Management (MTM), 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 establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers.
• 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.

Preferred Qualifications

• Medication Therapy Management (MTM) experience.

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.