Remote Pharmacy Technician Prior Auth

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

Job summary

Molina Healthcare is seeking remote Certified Pharmacy Technicians to join the Prior Authorization team. Candidates will review prior auth requests and work Mon–Fri 11am-7:30pm MST or 12:30pm-9pm MST; training about 7 weeks 9am-5:30pm MST.

Required: CPhT or active state license, strong communication and computer skills. Role supports pharmacy strategy and patient care quality, in an equal opportunity environment.

Qualifications

• At least 2 years pharmacy technician experience or equivalent.
• Certified Pharmacy Technician (CPhT) or active state license.
• Ability to maintain confidentiality and comply with HIPAA.
• Excellent verbal and written communication skills.

Responsibilities

• Review non-formulary or prior authorization requests against plan criteria.
• Enter approvals or denials accurately.
• Facilitate prior authorization processes per policies.
• Contribute to programs to optimize medication-related outcomes and cost-effective member care.
• Identify and report operational issues to leadership.

Skills

Communication

Office software

HIPAA compliance

Tools

Excel

Pharmacy software

Job description

Molina Healthcare is hiring for remote Certified Pharmacy Technicians. These roles will be in our Prior Authorization department. You will review prior auth requests that are submitted. Schedules for these roles will be Mon through Fri 11am-7:30pm MST or 12:30pm-9pm MST. The training schedule will be approximately 7 weeks 9am-5:30pm MST.

Qualified candidates must have either PTCB certification or Pharmacy Tech State license. High preference for those who are self-starters and go-getters. Must have above average computer skills along with a high level of communication skills both written and verbal.

As a Pharmacy Tech here at Molina, you will provide support for pharmacy technician activities. You will also contribute to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care.

Essential Job Duties

• 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.

Molina Healthcare offers 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.

Same Posting Description for Internal and External Candidates