Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pharmacy Technician, Clinical/Medication Therapy Management
Location
United States
Posted
6 days ago
Salary
Not specified
Seniority
Mid Level
No structured requirement data.
Job Description
Role Description
Provides support for pharmacy Medication Therapy Management (MTM) activities. Contributes to overarching pharmacy strategy to ensure member access to medically necessary prescription drugs, optimization of medication related health care outcomes, and quality cost-effective member care.
- Collaborates with pharmacists on medication adherence and provides follow-up on identified adherence barriers.
- Performs outreach to members, prescribers and/or pharmacies as needed.
- Participates in the development/administration of pharmacy programs designed to enhance the utilization of targeted drugs and identification of cost-saving pharmacy practices.
- Identifies and reports pharmacy operational issues and resource needs to appropriate leadership.
- Assists Molina member services, pharmacies, and health plan providers in resolution of member prescription claim, prior authorization, and pharmacy service access issues.
- Articulates pharmacy management policies and procedures to pharmacy/health plan providers, Molina staff and others as needed.
Qualifications
- At least 2 years pharmacy technician experience, preferably supporting Medication Therapy Management (MTM), or equivalent combination of relevant education and experience.
- Certified Pharmacy Technician (CPhT) and/or state pharmacy technician license (state specific if state required). If licensed, license must be active and unrestricted in state of practice.
- Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers.
- Ability to abide by Molina policies.
- Ability to maintain attendance to support required quality and quantity of work.
- Ability to maintain confidentiality and comply with the Health Insurance Portability and Accountability Act (HIPAA).
- Excellent verbal and written communication skills.
- Microsoft Office suite (including Excel), and applicable software program(s) proficiency.
Preferred Qualifications
- Medication Therapy Management (MTM) experience.
Benefits
- Molina Healthcare offers a competitive benefits and compensation package.
Company Description
- Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Requirements
- At least 2 years pharmacy technician experience, preferably supporting Medication Therapy Management (MTM), or equivalent combination of relevant education and experience.
- Certified Pharmacy Technician (CPhT) and/or state pharmacy technician license (state specific if state required). If licensed, license must be active and unrestricted in state of practice.
- Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers.
- Ability to abide by Molina policies.
- Ability to maintain attendance to support required quality and quantity of work.
- Ability to maintain confidentiality and comply with the Health Insurance Portability and Accountability Act (HIPAA).
- Excellent verbal and written communication skills.
- Microsoft Office suite (including Excel), and applicable software program(s) proficiency.
- Preferred Qualifications
- Medication Therapy Management (MTM) experience.
Benefits
- Molina Healthcare offers a competitive benefits and compensation package.
Related Guides
Related Categories
Related Job Pages
More Medical Billing and Coding Jobs
Invoicing Specialist
HealthMark GroupFounded in 2006, HealthMark Group is a software-driven company that provides health information management solutions to streamline the flow of patient informati
As an Invoicing Specialist, you will play a crucial role in supporting the Invoicing team in ensuring the accuracy, completeness, and compliance of medical records released to requestors. You will report to the Invoicing Manager and will help create medical record request invoice...
This advanced coordinator specializes in complex pre-certifications for high dollar oncology and non-oncology drugs by analyzing treatment plans and payer policies. Responsibilities include completing authorizations in Epic, verifying insurance eligibility, and working with clinical staff on add-ons, denials, and peer-to-peer reviews.
Authorization Specialist
Lehigh Valley Health NetworkLife is full of partners. Your health deserves one, too.
The Authorization Specialist obtains necessary benefits and authorizations for various medical services, including procedures, testing, and medications, while collaborating with providers to ensure alignment with medical necessity and treatment plans. This role also involves performing billing duties, determining patient financial responsibility, and maintaining compliance with authorization protocols and network policies.
Patient Success Specialist
NateraFounded in 2004 and led by CEO Steve Chapman, Natera is a company in the biotechnology market that offers genetic testing and diagnostics on a global scale. Ope
The specialist will manage patient-specific eligibility verifications, claim submissions, and product grid analysis while ensuring strict adherence to guidelines and regulatory requirements. Primary duties involve addressing patient needs through customer support, coordinating logistics, resolving escalations urgently via various communication channels, and owning the second-level billing call center escalation line.


