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