Remote Pharmacy Tech: Prior Auth & Cost-Saving Programs

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

Benefits offered by this job

Remote work

Competitive benefits

Job summary

Molina Healthcare is hiring for a remote Pharmacy Technician. This role is 100% remote with hours Monday–Friday, 10:00 a.m. to 6:30 p.m. Central Time.

The position supports pharmacy technician activities and contributes to pharmacy strategy to optimize medication-related health outcomes and cost-effective member care.

Requires a CPhT and 2+ years of experience; responsibilities include reviewing requests, approvals/denials, prior authorizations, and collaboration with providers and members.

Qualifications

• At least 2 years pharmacy technician experience or equivalent.
• CPhT certification and/or state license active and unrestricted.
• 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 HIPAA.
• Ability to establish and maintain positive work relationships with coworkers, clients, members, providers and customers.
• Excellent verbal and written communication skills.
• Proficiency in Microsoft Office suite including Excel.

Responsibilities

• Review non-formulary or prior authorization requests against plan criteria.
• Enter approvals or denials of requests.
• Facilitate prior authorization requests within policies and procedures.
• Participate in development/administration of pharmacy programs to optimize drug utilization and cost savings.
• Identify and report operational issues to leadership.
• Assist member services, pharmacies, and providers with resolution of claims and access issues.
• Articulate management policies to providers and staff.

Skills

Verbal communication

Written communication

Microsoft Office

Excel

HIPAA compliance

Education

Certified Pharmacy Technician (CPhT)

Tools

Microsoft Office

Excel

Job description

Molina Healthcare is hiring for a remote Pharmacy Technician. This role is 100% remote with hours Monday–Friday, 10:00 a.m. to 6:30 p.m. Central Time.

The position supports pharmacy technician activities and contributes to pharmacy strategy to optimize medication-related health outcomes and cost-effective member care.

Requires a CPhT and 2+ years of experience; responsibilities include reviewing requests, approvals/denials, prior authorizations, and collaboration with providers and members.