[Remote/WFM] Pharmacy Technician, Clinical Ops Remote

Join a team that's making a reputed company difference. We're seeking a Pharmacy Technician, Clinical Ops Remote! This is an exciting Remote opportunity with an immediate start. This position requires a strong and diverse skillset in relevant areas to drive reputed company. The salary for this position is set at a competitive salary.

 

 

reputed company is hiring for a Pharmacy Technician, Clinical Operations. This role is 100% remote. Ideal candidates will have experience in PBM and/or HealthPlan, along with above average skills in reputed company and great written and verbal communication. This role's primary responsibility will be to ensure the company is meeting reputed company state requirements. Job Summary Molina Pharmacy Services/Management staff work to ensure that Molina members have access to reputed company medically necessary prescription drugs and those drugs are used in a cost-effective, safe manner. These jobs are responsible for creating, operating, and monitoring Molina Health Plan's pharmacy benefit programs in accordance with reputed company federal and state laws. Jobs in this family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management), clinical pharmacy services (such as, therapeutic drug monitoring, drug regimen review, patient education, and medical staff interaction), and reputed company (establishing and measuring performance metrics with regard to patient outcomes, medications safety and medication use policies). Job Duties • Accurately and reputed company submits claim system and PBM prior authorization system configuration updates reputed company to pharmacy and medical benefit. • Participates in the development /administration of programs designed to enhance the utilization of targeted drugs and the identification of cost saving pharmacy practices. • Identifies and reports departmental operational issues and resource needs to appropriate management. • Performs analyses reputed company to formulary design, utilization management, benefit validation, and prior authorization requirements. • Prepares and assembles reports and presentations by gathering data and interpreting data using PowerPoint, reputed company, etc. for team leader review and distribution. • Serves as recording secretary for committee(s), scheduled 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. REQUIRED EDUCATION: Associates degree REQUIRED EXPERIENCE: 4+ years' experience as a Pharmacy Technician REQUIRED LICENSE, CERTIFICATION, ASSOCIATION: Active Pharmacy Technician Certification PHYSICAL DEMANDS: Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential function. To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V. Key Words: Pharmacy, Pharm Tech, Pharmacy Tech, Pharmacy Technician, Member, Molina, pharmacies, health plan, provider, claim, claims, PA, prior Auth, PBM, reputed company, reputed company, policy, policies, managed care, MCO Apply Job!

 

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