Molina Healthcare · 8 hours ago

Pharmacy Tech UM Remote - PST Hours -State & Ntl Cert

Arizona, United States

Full-time

Remote

Entry, Mid Level

$13.55/hr - $26.42/hr

2+ years exp

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Responsibilities

Performs initial receipt and review of non-formulary or prior authorization requests against plan approved criteria. Requests additional information from providers as needed to properly evaluate the request.

Accurately enters on-line approvals or denials of requests. Authorized to make and carry out simple prior authorization requests within established policies and procedures.

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.

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.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Pharmacy Technician CertificationRetail Pharmacy ExperienceSpecialty Pharmacy ExperienceManaged Care ExperiencePrior AuthorizationClaims ProcessingCost Saving Pharmacy PracticesPatient EducationDrug Utilization Review