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 use policies, all in compliance with federal and state laws.
Responsibilities
• Perform initial receipt and review of non-formulary or prior authorization requests against plan approved criteria.
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• Request additional information from providers as needed to properly evaluate the request.
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• Accurately enter online approvals or denials of requests.
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• Make and carry out simple prior authorization requests within established policies and procedures.
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• Participate in the development and administration of programs designed to enhance the utilization of targeted drugs and identify cost-saving pharmacy practices.
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• Identify and report departmental operational issues and resource needs to appropriate management.
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• Assist Molina Member Services, pharmacies, and health plan providers in resolving member prescription claim, prior authorization, or pharmacy services access issues.
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• Articulate Pharmacy Management policies and procedures to pharmacy/health plan providers and other Molina staff.
Requirements
• High School Diploma or GED equivalent
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• 2 years’ experience as a Pharmacy Technician
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• Active and unrestricted Pharmacy Technician Certification
Nice-to-haves
• Associate degree
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• 3+ years of experience as a Pharmacy Technician
Benefits
• Competitive benefits and compensation package
