Molina Healthcareposted 7 months ago
$25,355 - $54,954/Yr
Full-time • Entry Level
Louisville, KY
1,001-5,000 employees
Insurance Carriers and Related Activities
About the position
The Pharmacy Technician position at Molina Healthcare is a full-time remote role focused on ensuring that Molina members have access to necessary prescription drugs in a safe and cost-effective manner. The role involves managing pharmacy benefit programs, reviewing prior authorization requests, and providing clinical pharmacy services. The technician will work closely with healthcare providers and members to resolve prescription-related issues and enhance drug utilization practices.
Responsibilities
- Perform initial receipt and review of non-formulary or prior authorization requests against plan approved criteria.
- Request additional information from providers as needed to properly evaluate the request.
- Accurately enter online approvals or denials of requests.
- Make and carry out simple prior authorization requests within established policies and procedures.
- Participate in the development and administration of programs designed to enhance the utilization of targeted drugs and identify cost-saving pharmacy practices.
- Identify and report departmental operational issues and resource needs to appropriate management.
- Assist Molina Member Services, pharmacies, and health plan providers in resolving member prescription claim, prior authorization, or pharmacy services access issues.
- Articulate Pharmacy Management policies and procedures to pharmacy/health plan providers and other Molina staff.
Requirements
- High School Diploma or GED equivalent
- 2 years' experience as a Pharmacy Technician
- Active and unrestricted Pharmacy Technician Certification
Nice-to-haves
- Associate degree
- 3+ years of experience as a Pharmacy Technician
Benefits
- Health insurance
