Back to the board

Pharmacy Technician, Clinical Ops Remote

100% remote Flexible hours Hiring now

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!

Keep exploring

All-Inclusive Travel Specialist-Work From Anywhere!

100% remote Flexible hours

Community Representative (New Home Sales)

100% remote Flexible hours

Energetic Fellowship Experience (Fall 2024)

100% remote Flexible hours

Remote Customer Service Representative (Email/Chat)

100% remote Flexible hours

Entry Level-Online Scheduling Assistant Remote

100% remote Flexible hours

Remote - Personal Travel Assistant

100% remote Flexible hours

Home Away From Home Innovator

100% remote Flexible hours

Denials Representative - 5554- Remote

100% remote Flexible hours

Live Chat Specialist (remote) FT/PT

100% remote Flexible hours

Data Entry Specialist - Remote

100% remote Flexible hours

store manager - La Canada/Pasadena, Ca

100% remote Flexible hours

Finance Controller

100% remote Flexible hours

Experienced Customer Service Representative for Medicaid, SNAP, and TANF Application Support – Fully Remote Opportunity in Virginia

100% remote Flexible hours

Experienced Full Stack Software Engineer – Web & Cloud Application Development

100% remote Flexible hours

Senior Product Marketing Manager

100% remote Flexible hours

Experienced Full Stack Customer Service Representative – Cloud Application Support

100% remote Flexible hours

Urgently Hiring: Part-Time Spanish Bilingual Remote Call Center Agent – Join Our Team and Make a Difference in the Lives of Others

100% remote Flexible hours

Project Manager - Commercial

100% remote Flexible hours

Country Medical Lead, Italy

100% remote Flexible hours

Customer Service Representative

100% remote Flexible hours