Pharmacy Tech, Clinical/Medication Therapy Mgmt (Remote)

Molina Healthcare•Long Beach, CA

21h•Remote

About The Position

Molina Healthcare is hiring a Pharmacy Technician for its Clinical/Medication Therapy Management (MTM) Department. This is a fully remote position focused primarily on outbound calls to members about medication adherence and prescription pickup needs, as well as contacting pharmacies to coordinate prescription refills. The technician communicates with providers as needed to support member care and handles inbound calls occasionally. The schedule is Monday through Friday, 10:00 AM–6:30 PM MST. Bilingual ability is not required; Spanish, Vietnamese, Arabic, Creole, French, Cantonese, and Mandarin are preferred. The role supports pharmacy MTM activities and contributes to pharmacy strategy to help ensure members can access medically necessary prescription drugs, improve medication-related health outcomes, and receive quality, cost-effective care. The technician collaborates with pharmacists on adherence and follows up on identified barriers; conducts outreach to members, prescribers, and pharmacies; and supports pharmacy programs intended to improve use of targeted drugs and identify cost-saving practices. The role also helps resolve prescription claim, prior authorization, and pharmacy service access issues, communicates pharmacy policies and procedures, and reports operational issues and resource needs to leadership.

Requirements

At least 2 years of pharmacy technician experience, preferably supporting MTM, or an equivalent combination of relevant education and experience.
Certified Pharmacy Technician (CPhT) certification and/or a state pharmacy technician license, where required by the state. Any license must be active and unrestricted in the 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 HIPAA.
Excellent verbal and written communication skills.
Proficiency with Microsoft Office, including Excel, and applicable software programs.
Proficiency with Excel, including filtering and basic spreadsheet functions.
Comfort using Microsoft Teams.

Nice To Haves

Managed care experience; candidates without it may be considered with experience in MTM, medication adherence programs, retail pharmacy operations, or call center environments.
Medication Therapy Management (MTM) experience.
Familiarity with diabetes and cholesterol medications.
Bilingual ability in Spanish, Vietnamese, Arabic, Creole, French, Cantonese, or Mandarin.
Solid, stable work history.

Responsibilities

Provide support for pharmacy Medication Therapy Management (MTM) activities.
Contribute to pharmacy strategy to support access to medically necessary prescription drugs, improved medication-related health outcomes, and quality, cost-effective member care.
Collaborate with pharmacists on medication adherence and follow up on identified adherence barriers.
Make outbound calls to members regarding medication adherence and prescription pickup needs.
Contact pharmacies to coordinate prescription refills.
Communicate with providers as needed to support member care and handle inbound calls on occasion.
Conduct outreach to members, prescribers, and/or pharmacies as needed.
Participate in developing and administering pharmacy programs designed to enhance utilization of targeted drugs and identify cost-saving pharmacy practices.
Identify and report pharmacy operational issues and resource needs to appropriate leadership.
Assist Molina member services, pharmacies, and health plan providers in resolving member prescription claim, prior authorization, and pharmacy service access issues.
Explain pharmacy management policies and procedures to pharmacy and health plan providers, Molina staff, and others as needed.