JOB DESCRIPTION Job Summary
Provides support for pharmacy technician activities. Contributes 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 prov...