Pharmacy Tech, Prior Auth CPhT or PTCB (Remote)

About the role

Molina Healthcare is seeking a Pharmacy Technician who is State Licensed/Certified and/or PTCB certified. This role is 100% remote, with hours Monday through Friday from 10:00 AM to 6:30 PM Pacific Standard Time.

Responsibilities

• Supports pharmacy technician activities.
• Contributes to pharmacy strategy for optimizing medication-related health care outcomes and quality cost-effective member care.
• Initial receipt and review of non-formulary or prior authorization requests against pharmacy plan approved criteria; requests additional information from providers as needed.
• 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 identify 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).
• Licenses must be active and unrestricted in state of practice.
• Abides by Molina policies.
• Maintains attendance to support required quality and quantity of work.
• Maintains confidentiality and complies with HIPAA.
• Establishes and maintains positive and effective work relationships with coworkers, clients, members, providers, and customers.
• Exhibits excellent verbal and written communication skills.
• Proficient in Microsoft Office suite (including Excel), and applicable software program(s).

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).
• Licenses must be active and unrestricted in state of practice.
• Abides by Molina policies.
• Maintains attendance to support required quality and quantity of work.
• Maintains confidentiality and complies with HIPAA.
• Establishes and maintains positive and effective work relationships with coworkers, clients, members, providers, and customers.
• Exhibits excellent verbal and written communication skills.
• Proficient in Microsoft Office suite (including Excel), and applicable software program(s).

Skills

• Computer savvy - able to work within several computer systems at once.
• Managed care experience.

Benefits

Molina Healthcare offers a competitive benefits and compensation package. The pay range for this position is $12.19 - $26.42 per hour, actual compensation may vary based on geographic location, work experience, education, and/or skill level.

Pay

$12.19 - $26.42 / HOURLY

Schedule

Monday through Friday from 10:00 AM to 6:30 PM Pacific Standard Time.