About the position
Molina Healthcare is hiring for remote Certified Pharmacy Technicians to work in our Prior Authorization department. In this role, you will review prior authorization requests that are submitted. The schedules for these roles will be Monday through Friday, 11:00 AM - 7:30 PM MST or 12:30 PM - 9:00 PM MST. The training schedule will be approximately 7 weeks, from 9:00 AM - 5:30 PM MST. 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 healthcare outcomes and quality, cost-effective member care.
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.
Requirements
• 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.
Nice-to-haves
• High preference for those who are self-starters and go-getters.
• Above average computer skills
• High level of communication skills both written and verbal.
Benefits
• competitive benefits and compensation package