Remote Pharmacy Technician - Clinical Operations Expert for Molina Healthcare: Shaping the Future of Healthcare Management

Transforming Healthcare through Innovative Clinical Operations Molina Healthcare, a pioneering force in healthcare management, is seeking a highly skilled and dedicated Remote Pharmacy Technician - Clinical Operations to join its dynamic team. As a leader in providing comprehensive healthcare solutions, Molina Healthcare is committed to ensuring that its members receive the best possible care. This role is crucial in driving the company's mission forward by managing pharmacy services that are both cost-effective and safe. About the Position The Pharmacy Technician, Clinical Operations role is a fully remote position that plays a pivotal part in ensuring compliance with state requirements for pharmacy benefit programs. The successful candidate will be responsible for managing pharmacy services to guarantee that Molina members have access to necessary prescription drugs. This involves a deep understanding of formulary management, clinical pharmacy services, and the oversight of medication use policies. Key Responsibilities Accurately and efficiently submit claim system and PBM prior authorization system configuration updates related to pharmacy and medical benefits, ensuring seamless operations. Participate in the development and administration of programs designed to enhance the utilization of targeted drugs and identify cost-saving pharmacy practices, contributing to the company's financial health and member satisfaction. Identify and report departmental operational issues and resource needs to appropriate management, fostering a proactive approach to problem-solving. Perform complex analyses related to formulary design, utilization management, benefit validation, and prior authorization requirements, providing actionable insights. Prepare and assemble comprehensive reports and presentations by gathering and interpreting data using tools like PowerPoint and Excel, facilitating informed decision-making. Serve as a recording secretary for various committees, scheduling meetings, distributing materials, recording, and transcribing meeting minutes with precision. Assist Molina Member Services, pharmacies, and health plan providers in resolving member prescription claim, prior authorization, or pharmacy services access issues, ensuring high-quality member experience. Articulate Pharmacy Management policies and procedures to pharmacy/health plan providers, other Molina staff, and external parties as needed, demonstrating excellent communication skills. Essential Qualifications To excel in this role, candidates must possess: An Associate's degree in a relevant field, providing a solid foundation in healthcare principles. A minimum of 4 years of experience as a Pharmacy Technician, with a proven track record of handling complex pharmacy operations. Active Pharmacy Technician Certification, underscoring a commitment to professional standards and ongoing education. Preferred Qualifications While not mandatory, the following attributes are highly valued: Experience in Pharmacy Benefit Management (PBM) and/or Health Plan operations, offering a deeper understanding of the healthcare ecosystem. Above-average skills in Excel, enabling efficient data analysis and reporting. Exceptional written and verbal communication skills, facilitating effective collaboration and stakeholder management. Skills and Competencies Success in this role requires a blend of technical knowledge, analytical prowess, and interpersonal skills. Key competencies include: A strong understanding of pharmacy operations, including formulary management and clinical pharmacy services. Analytical and problem-solving skills, with the ability to interpret data and make informed decisions. Excellent communication and interpersonal skills, with the ability to articulate complex information to diverse audiences. Proficiency in Microsoft Office, particularly Excel and PowerPoint, for data analysis and presentation. A proactive and detail-oriented approach, with a commitment to accuracy and efficiency. Career Growth and Learning Opportunities Molina Healthcare is dedicated to the growth and development of its employees. This role offers numerous opportunities for professional advancement, including: Professional development through ongoing training and education, enhancing skills and knowledge. Opportunities for career advancement within the organization, based on performance and potential. Exposure to a dynamic and innovative work environment, fostering creativity and problem-solving. Work Environment and Company Culture As a fully remote position, this role offers the flexibility and autonomy to work from anywhere. Molina Healthcare promotes a culture that values: Diversity, equity, and inclusion, ensuring a welcoming and respectful workplace. Collaboration and teamwork, encouraging open communication and mutual support. Innovation and creativity, empowering employees to drive positive change. Compensation, Perks, and Benefits Molina Healthcare offers a comprehensive compensation package that includes a competitive salary, benefits, and perks designed to support the well-being and career goals of its employees. While specifics may vary, the company is committed to rewarding talent and dedication. Join Our Team! This is an extraordinary opportunity to join a pioneering healthcare organization and contribute to the evolution of clinical operations. If you are a motivated and skilled Pharmacy Technician looking for a challenging and rewarding role, we encourage you to apply today. Together, let's shape the future of healthcare management. Apply now and embark on a career journey that combines professional growth, innovation, and the satisfaction of making a difference in the lives of Molina Healthcare's members. Apply for this job