Industry: Private
Employment Type:- Full Time
Work Hours:- 8 Hours
Locations:- USA
Full Job Description:-
Job Summary
Molina MTM Pharmacy Services staff work to ensure that Molina members have access to Medicare Star medications and those meds 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 all federal and state laws. Jobs in this family include those involved in formulary management (such as, 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 oversight (establishing and measuring performance metrics with regard to patient outcomes, medications safety and medication use policies).
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Job Duties
- Collaborate with Molina pharmacist on medication adherence and provide follow-up on identified adherence barriers.
- Perform outreach to member, prescriber and/or pharmacy as needed.
- 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
REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:
- 2 years experience as a Pharmacy Technician
REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:
- Active and unrestricted Pharmacy Technician Certification
PREFERRED EDUCATION:
- Associate's Degree
PREFERRED EXPERIENCE:
- 3+ years
