See all roles

Pharmacy Technician, Clinical Ops Remote

Work from home Full-time role Hiring

About the position The Pharmacy Technician, Clinical Operations role at Molina Healthcare is a remote position focused on ensuring compliance with state requirements for pharmacy benefit programs. The position involves managing pharmacy services to guarantee that Molina members have access to necessary prescription drugs while adhering to cost-effective and safe practices. The role encompasses formulary management, clinical pharmacy services, and oversight of medication use policies. Responsibilities • Accurately and efficiently submits claim system and PBM prior authorization system configuration updates related to pharmacy and medical benefit. , • Participates in the development/administration of programs designed to enhance the utilization of targeted drugs and identify cost-saving pharmacy practices. , • Identifies and reports departmental operational issues and resource needs to appropriate management. , • Performs analyses related to formulary design, utilization management, benefit validation, and prior authorization requirements. , • Prepares and assembles reports and presentations by gathering and interpreting data using PowerPoint, Excel, etc. for team leader review and distribution. , • Serves as recording secretary for committee(s), scheduling meetings, distributing materials, recording, and transcribing meeting minutes. , • Assists Molina Member Services, pharmacies, and health plan providers in resolving member prescription claim, prior authorization, or pharmacy services access issues. , • Articulates Pharmacy Management policies and procedures to pharmacy/health plan providers, other Molina staff, and others as needed. Requirements • Associates degree , • 4+ years' experience as a Pharmacy Technician , • Active Pharmacy Technician Certification Nice-to-haves • Experience in PBM and/or HealthPlan , • Above average skills in Excel , • Great written and verbal communication skills Benefits • Competitive benefits and compensation package Apply Job!

You might like

All-Inclusive Travel Specialist-Work From Anywhere!

Work from home Full-time role

Community Representative (New Home Sales)

Work from home Full-time role

Energetic Fellowship Experience (Fall 2024)

Work from home Full-time role

Remote Customer Service Representative (Email/Chat)

Work from home Full-time role

Entry Level-Online Scheduling Assistant Remote

Work from home Full-time role

Remote - Personal Travel Assistant

Work from home Full-time role

Home Away From Home Innovator

Work from home Full-time role

Denials Representative - 5554- Remote

Work from home Full-time role

Live Chat Specialist (remote) FT/PT

Work from home Full-time role

Data Entry Specialist - Remote

Work from home Full-time role

Experienced Full Stack Customer Service Representative – Remote Opportunity with arenaflex

Work from home Full-time role

Lead 3D Animator /Spine / Unity Integration/ /Remote/

Work from home Full-time role

High Paying Customer Service Executive – $22/Hour – arenaflex Philadelphia

Work from home Full-time role

Payroll Consultant

Work from home Full-time role

Analista de gestão de Software

Work from home Full-time role

[Remote] Distinguished Engineer, GPU Fleet Operations Automation

Work from home Full-time role

Regional Sales Engineer, Pangea (Remote)

Work from home Full-time role

Head of Revenue Operations

Work from home Full-time role

Full Stack Developer (.NET Developer)

Work from home Full-time role

Experienced Remote Data Entry Associate – Entry Level Opportunity for Detail-Oriented Individuals with Strong Organizational Skills

Work from home Full-time role