Job Description
About the position The Pharmacy Technician at Molina Healthcare plays a crucial role in ensuring that members have access to necessary prescription drugs while adhering to cost-effective and safe practices. This position involves managing pharmacy benefit programs, including formulary management, clinical pharmacy services, and oversight of medication safety and use policies. 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 requests. • 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 • Competitive benefits and compensation package Apply tot his job