All roles

Open role

Pharmacy Technician CPhT Prior Auth (Remote)

Remote · Germany Full-time

Molina Healthcare is hiring for remote Certified Pharmacy Technicians. These roles will be in our Prior Authorization department. You will review prior auth requests that are submitted. Schedules for these role will vary between 7am to 10pm EST. Qualified candidates must have either PTCB certification or Pharmacy Tech State license. High preference for those who are self-starters and go-getters. Must have above average computer skills along with a high level of communication skills both written and verbal. As a Pharmacy Tech here at Molina, you will provide support for pharmacy technician activities. You will also contribute to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care.

  • Essential Job Duties
  • Performs initial receipt and review of non-formulary or prior authorization requests against pharmacy plan approved criteria; requests additional information from providers as needed to properly evaluate requests.
  • Accurately enters approvals or denials of requests.
  • Facilitates prior authorization requests within established pharmacy policies and procedures.
  • Participates in the development/administration of pharmacy programs designed to enhance the utilization of targeted drugs and identification of cost-saving pharmacy practices.
  • Identifies and reports pharmacy departmental operational issues and resource needs to appropriate leadership.
  • Assists Molina member services, pharmacies, and health plan providers in resolving member prescription claims, prior authorizations, and pharmacy service access issues.
  • Articulates pharmacy management policies and procedures to pharmacy/health plan providers, Molina staff and others as needed.
  • Required Qualifications
  • At least 2 years pharmacy technician experience, or equivalent combination of relevant education and experience.
  • Certified Pharmacy Technician (CPhT) and/or state pharmacy technician license (state specific if state required). If licensed, license must be active and unrestricted in state of practice.
  • 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 the Health Insurance Portability and Accountability Act (HIPAA).
  • Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers.
  • Excellent verbal and written communication skills.
  • Microsoft Office suite (including Excel), and applicable software program(s) proficiency.

#PJPharm3 #LI-AC1 To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

  • Pay Range: $12.19 - $26.42 / HOURLY
  • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

More open positions

Pharmacy Technician Apprentice & Certified Pharmacy Technician - Patient-Centered Healthcare Role with Training & Career Development Program

Work from home Full-time role

Pharmacy Technician IV - Patient Assistance Coordinator

Work from home Full-time role

Telehealth Nurse, Remote

Work from home Full-time role

Telehealth Nurse – Atrium Health Wake Patient Access and Care Team (PACT) PT

Work from home Full-time role

[Hiring] Telehealth Nurse @CopilotIQ

Work from home Full-time role

Software Developer (Golang)

Work from home Full-time role

Research Analyst Medical Management

Work from home Full-time role

Account Manager

Work from home Full-time role

[Remote] Senior Software Engineer - Partner Integrations and Origination Platform

Work from home Full-time role

Director, Procurement

Work from home Full-time role

Senior Remote Customer Service Representative – Healthcare Benefits & Member Support Specialist (Full‑Time, Nationwide Telecommute)

Work from home Full-time role

Senior Automated Customer Experience / AI Conversation Designer

Work from home Full-time role

Unpaid Internship GT

Work from home Full-time role

[Remote] Regional Sales Manager, West Region

Work from home Full-time role

Remote Virtual Receptionist

Work from home Full-time role

[Remote] Product Manager (Payments)

Work from home Full-time role

Assistant Faculty, Computer Information Systems

Work from home Full-time role

Director, Training & Enablement

Work from home Full-time role

Pharmacovigilance Specialist [remote 12 months fixed-term]

Work from home Full-time role

Full Time Vet Assistant/Host (Hybrid Role) - Rice Village and The Heights

Work from home Full-time role

Project Assistant, REMS Team-- Wilmington, NC

Work from home Full-time role