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pharmacy tech jobs near me
Pharmacy tech jobs near me: Molina Pharmacy Services/Management staff ensures that Molina members have safe and cost-effective access to prescription drugs. This job is responsible for operating and monitoring Molina Health Plan’s pharmacy benefit programs in compliance with all state and federal laws. This family includes those who are involved in formulary management (such a reviewing of prior authorization requirements, reviewing provider utilization patterns, and pharmacy cost management), clinical pharmacy services, such as therapeutic drug monitoring, drug regime review, patient education and interaction, and oversight (establishing, measuring, and reporting on performance metrics regarding patient outcomes and medication safety policies).
Receives and reviews non-formulary authorization requests. As needed, requests additional information from providers to help properly evaluate the request.
Correctly enters online approvals and denials. Authorized to submit and execute simple prior authorization requests in accordance with established policies and procedures.
Participates in the design/administration of programs that increase the use of targeted drugs as well as the identification of cost-saving pharmacy practices.
Reports operational problems and resources needs to the appropriate management.
Assists Molina Member Services and pharmacies in the resolution of member prescription claims, prior authorization or pharmacy services access problems.
Articulates Pharmacy Management policies, procedures and instructions to pharmacy/health plan providers, Molina staff, and others as required.