About the role
Molina Healthcare is hiring Pharmacy Technicians in our Clinical/MTM Department. This is a fully remote position.
This position will make outbound calls to members regarding medication adherence and prescription pick-up needs, contact pharmacies to coordinate prescription refills. You will also communicate with providers as needed to support member care, handle inbound calls on occasion, though the role is primarily outbound focused.
Schedule for this position will be Monday through Friday 10:00 AM – 6:30 PM MST
Bilingual is not required however preferred languages are Spanish, Vietnamese, Arabic, Creole, French, Cantonese or Mandarin.
Highly Qualified Candidates will have the following:
Must be a licensed or certified Pharmacy Technician.
Solid/stable work history desired
Previous Managed Care experience is strongly preferred.
Candidates without Managed Care experience may still be considered if they have experience with MTM, medication adherence programs, retail pharmacy operations, or call center environments.
Proficiency with Microsoft Excel, including filtering and basic spreadsheet functions, is needed.
Must be comfortable using Microsoft Teams.
Familiarity with diabetes and cholesterol medications is preferred.
Provides support for pharmacy Medication Therapy Management (MTM) activities. Contributes to overarching pharmacy strategy to ensure member access to medically necessary prescription drugs, optimization of medication related health care outcomes, and quality cost-effective member care.
Essential Job Duties
Provides support for pharmacy Medication Therapy Management (MTM) activities. Contributes to overarching pharmacy strategy to ensure member access to medically necessary prescription drugs, optimization of medication related health care outcomes, and quality cost-effective member care.
• Collaborates with pharmacists on medication adherence and provides follow-up on identified adherence barriers.
• Performs outreach to members, prescribers and/or pharmacies as needed.
• 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 operational issues and resource needs to appropriate leadership.
• Assists Molina member services, pharmacies, and health plan providers in resolution of member prescription claim, prior authorization, 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, preferably supporting Medication Therapy Management (MTM), 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 establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers.
• 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.
Preferred Qualifications
• Medication Therapy Management (MTM) experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Originally posted on Himalayas