Remote Pharmacy Tech: Prior Authorization & Support

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

Job summary

Molina Healthcare is hiring several remote Pharmacy Technicians who will work 100% remotely. Shifts are Monday through Friday 10am to 630pm Central Standard Time (CST) or 11am-730pm CST with rotating weekends and holiday availability is needed.

This role will provide support for pharmacy technician activities and contribute to the overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care.

Qualifications

• 2+ years of pharmacy technician experience or equivalent education/experience.
• CPhT certification and/or active state license in practice state.
• Ability to maintain confidentiality and HIPAA compliance.
• Strong communication and team collaboration skills.

Responsibilities

• 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.

Skills

Verbal and written communication

HIPAA compliance

Relationship building

Attendance and reliability

Microsoft Excel

Tools

Microsoft Excel

Job description

Molina Healthcare is hiring several remote Pharmacy Technicians who will work 100% remotely. Shifts are Monday through Friday 10am to 630pm Central Standard Time (CST) or 11am-730pm CST with rotating weekends and holiday availability is needed.

This role will provide support for pharmacy technician activities and contribute to the overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care.