Rep, MTM Pharmacy Services I (Remote)

$42,203 - $59,946/Yr

Molina Healthcare

Full-time

Remote

Insurance Carriers and Related Activities

About the position

The MTM Pharmacy Service Representative at Molina Pharmacy Services is responsible for ensuring that Molina members have access to necessary prescription drugs while maintaining compliance with federal and state laws. This role involves handling inbound and outbound calls, providing support to pharmacists and technicians, and acting as a liaison between various departments to enhance member relations and service delivery.

Responsibilities

• Handles and records inbound/outbound pharmacy calls from members, providers, pharmacists, and technicians.
• Enforces HIPAA compliance standards and regulations.
• Provides clerical services and support to the pharmacist and technicians staff.
• Follows policies and procedures for appropriate call resolution or transfer to internal departments.
• Utilizes resources to ensure members' contact information is current.
• Effectively communicates general Medicare and Medicaid plan benefits to members.
• Interacts with primary care providers to ensure patient registry accuracy.
• Supports pharmacists with comprehensive medication reviews through case preparation.
• Proactively identifies ways to improve member relations.

Requirements

• High School Diploma or equivalency.
• 1-3 years of call center or customer service experience.
• Excellent customer service skills.
• Ability to work independently on special projects.
• Strong verbal and written communication skills.
• Excellent phone etiquette.
• Ability to multi-task while speaking with members.
• Proficient in Microsoft Office programs (Word, Excel, MS Teams, Outlook).

Nice-to-haves

• Associate's Degree.
• 3-5 years of healthcare industry experience preferred.
• Bilingual in Spanish, Mandarin, Korean, Yue Chinese, or Vietnamese.

Benefits

• Competitive benefits and compensation package.