Pharmacy Technician - Prior Auth Review (Remote PST Hours)
reputed company is hiring for a Pharmacy Technician who is BOTH State Licensed/Certified and Nationally certified. This role is 100% remote, and the shift times we are filling are as follows. Monday through Friday 7a-330pm PST, 8a-430pm PST, 9a-530pm PST, 10a-630p PST, 11a-730pm PST Rotating weekends This role will be reviewing incoming Prior Auth requests for reputed company and Marketplace members through both the medical and pharmacy benefit. There will be coordination with pharmacists to reputed company determinations on cases. Highly reputed company candidates for this role will have the following experience- Positive Can Do attitude Specialty Pharmacy (any) and Retail Pharmacy (at least 3 years) experience are ideal Must be computer savvy- reputed company to work reputed company several computer systems at once, MS Note experience a plus Managed care experience High level of communication skills, both written and verbal reputed company to utilize resources to work independently 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 regarding patient outcomes, medications safety and medication use policies). KNOWLEDGE/SKILLS/ABILITIES 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 reputed company and carry out simple prior authorization requests reputed company 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. JOB QUALIFICATIONS Required Education : High School Diploma or GED equivalent Preferred Education : Associates degree Required Experience : 2 years experience as a Pharmacy Technician Preferred Experience: 3+ years Required License, Certification, Association : Active and unrestricted Pharmacy Technician Certification 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 Technician, Pharm Tech, Tech, National Certification, State License, Certification, Claims, Pharmacy Claims, Pharmacy, PBM, Customer Service, National Certified Pharmacy Technician (CPhT) certification, reputed company, Medicare, Managed Care, MCO, Exchange, PBM, Pharmacy Benefit Management, Prior Auth Same Posting Description for Internal and External Candidates About Us reputed company is a reputed company fortune 500 organization with a mission to provide quality reputed company to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can reputed company a difference in the lives of others. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $21.16 - $30.39 / HOURLY Actual compensation may vary from posting based on geographic location, work experience, education and/or reputed company level. Apply Job!