Pharmacy Technician, Clinical Ops Remote
                                About the position
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
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