Representative, Medication Therapy Management Services (Remote) (Bilingual)

Molina Healthcare; Tampa (FL); Remote; USD 60,000 - 80,000; Part time

Job summary

A leading healthcare company in Tampa, Florida, is seeking an MTM Pharmacy Service Representative. This role involves handling pharmacy calls, ensuring HIPAA compliance, and providing support to pharmacists. Ideal candidates possess excellent customer service skills and experience in a call center environment. Bilingual skills and healthcare experience are preferred. Competitive pay range from $21.16 to $28.82 per hour is offered.

Benefits

Competitive benefits and compensation package

Qualifications

• 1-3 years of call center or customer service experience.
• Ability to work independently on special projects.
• Strong verbal and written skills with excellent phone etiquette.

Responsibilities

• Handle inbound/outbound pharmacy calls.
• Enforce HIPAA compliance standards.
• Support pharmacists with comprehensive medication reviews.

Skills

Customer service skills

Multitasking

Verbal and written communication

Education

High School Diploma

Associate's Degree

Tools

Microsoft Office

Job description

Job Description

Molina Pharmacy Services/Management staff work to ensure that Molina members, providers, and pharmacies have access to all medically necessary prescription drugs and those drugs are used in a cost-effective, safe manner. These jobs are responsible for creating, operating, and monitoring Molina Health Plan’s pharmacy benefit programs in accordance with all federal and state laws.

Job Summary

The MTM Pharmacy Service Representative is responsible for performing outreach attempts and handle inbound calls for our Molina Healthcare members. Duties include, but are not limited to, transferring members to internal departments for medication reviews, scheduling appointments, and acting as a liaison between other departments.

Job Duties

• Handles and records inbound/outbound pharmacy calls in required systems from members, providers, pharmacists, pharmacies, and technicians to meet departmental and CMS standards.

• Enforce HIPAA compliance standards and regulations while maintaining guidelines and other necessary information for our providers, members, technicians and pharmacists.

• Provides clerical services and support to the pharmacist and technicians staff with day-to-day operations as delegated.

• Follow policies and procedures for appropriate call resolution or transfer to internal departments as required

• Utilize appropriate resources to ensure members contact information is current and up to date.

• Effectively communicate general Medicare and Medicaid plan benefits to existing members.

• Interact with appropriate primary care providers to ensure patient registry is current and accurate.

• Support pharmacists with completion of comprehensive medication reviews through pre-work up to case preparation.

• Proactively identify ways to improve member relations.

Job Qualifications

REQUIRED EDUCATION :

High School Diploma or equivalency

REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES :

• 1-3 years of call center or customer service experience

• Excellent customer service skills

• Ability to work independently when assigned special projects, such as pill box requests, CM referrals, OTC requests, etc.

• Strong verbal and written skills and excellent phone etiquette

• Ability to multi-task applications while speaking with members

• Proficient in using Microsoft Office programs (Word, Excel, MS Teams, and Outlook)

PREFERRED EDUCATION

PREFERRED EDUCATION :

Associate's Degree

PREFERRED EXPERIENCE

PREFERRED EXPERIENCE :

3-5 years; healthcare industry experience preferred

Bilingual preferred

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $21.16 - $28.82 / HOURLY

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