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Molina Healthcare

Runs health plans for government programs

Pharmacy Tech - Clinical/Medication Therapy Management

PharmacyConfirmed live in the last 24 hours
Full-timeRemote in USA$13.41 - $29.06 /hr

About the Job

Requirements

  • At least 2 years of pharmacy technician experience, preferably supporting Medication Therapy Management (MTM), or an equivalent combination of relevant education and experience.
  • Must hold Certified Pharmacy Technician (CPhT) certification and/or a state pharmacy technician license; any license must be active and unrestricted in the state of practice.
  • Must be able to maintain confidentiality and comply with the Health Insurance Portability and Accountability Act (HIPAA).
  • Must be proficient in the Microsoft Office suite, including Excel, and applicable software programs.
  • Must be able to use Microsoft Excel for filtering and basic spreadsheet functions.
  • Must be comfortable using Microsoft Teams.
  • Must be able to maintain attendance to support required quality and quantity of work.
  • Must abide by Molina policies.
  • Must be able to establish and maintain positive and effective work relationships with coworkers, clients, members, providers, and customers.
  • Must have excellent verbal and written communication skills.

Responsibilities

  • Provide support for pharmacy Medication Therapy Management (MTM) activities and contribute to pharmacy strategy to ensure member access to medically necessary prescription drugs, optimize medication-related health care outcomes, and support quality, cost-effective member care.
  • Collaborate with pharmacists on medication adherence and follow up on identified adherence barriers.
  • Perform outreach to members, prescribers, and pharmacies as needed, including outbound calls about medication adherence and prescription pick-up needs.
  • Contact pharmacies to coordinate prescription refills and communicate with providers as needed to support member care.
  • Handle inbound calls on occasion; the role is primarily outbound-focused.
  • Participate in the development and administration of pharmacy programs designed to enhance utilization of targeted drugs and identify cost-saving pharmacy practices.
  • Identify and report pharmacy operational issues and resource needs to appropriate leadership.
  • Assist member services, pharmacies, and health plan providers in resolving member prescription claims, prior authorization, and pharmacy service access issues.
  • Explain pharmacy management policies and procedures to pharmacy and health plan providers, Molina staff, and others as needed.

Desired Qualifications

  • Previous Managed Care experience is strongly preferred.
  • Candidates without Managed Care experience may be considered if they have experience with MTM, medication adherence programs, retail pharmacy operations, or call center environments.
  • Familiarity with diabetes and cholesterol medications is preferred.
  • Medication Therapy Management (MTM) experience is preferred.
  • Spanish, Vietnamese, Arabic, Creole, French, Cantonese, or Mandarin language skills are preferred; bilingual ability is not required.
  • Stable work history is desired.

About the Company

Molina Healthcare

Runs health plans for government programs

Molina Healthcare runs health insurance plans for people covered by Medicaid, Medicare and state insurance marketplaces, with a focus on people who need affordable access to care. Its local health plans coordinate medical services and support members with complex health needs, including people eligible for both Medicaid and Medicare. Members receive care through networks of doctors, hospitals and other providers, while the plans manage benefits, process claims and arrange care support. The company earns premiums from government programs and members, and pays the cost of covered healthcare services. Molina was founded in 1980 and is headquartered in Long Beach, California.

Company size
10,001+
Company stage
IPO
Headquarters
Long Beach, CA
Founded
1980

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