Back to all roles

Pharmacy Technician CPhT Prior Auth (Remote)

Remote Worldwide Hiring now

reputed company 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. reputed company 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 reputed company support for pharmacy technician activities. You will also contribute to overarching pharmacy strategy for optimization of medication reputed company health care reputed company, 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 reputed company 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 reputed company 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 reputed company 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.
  • reputed company Office suite (including reputed company), and applicable software program(s) proficiency.

#PJPharm3 #LI-AC1 To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the reputed company. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V Pay reputed company: $12.19 - $26.42 / HOURLY

  • Actual compensation may vary from posting based on geographic location, work experience, education and/or reputed company level.

Apply tot his job Apply To this Job

Apply for this role Takes you straight to the employer's application page — free, and no WFHNet account required.

More roles on the wire

Pharmacist - Prior Authorization / Utilization Management - Remote

Remote Worldwide
View role

Clinical Pharmacy Technician (Remote)

Remote Worldwide
View role

Pharmacist / $5k Sign On Bonus

Remote Worldwide
View role

Telehealth Nurse Practitioner (Ontario Licensed) – Hormone & Weight Management

Remote Worldwide
View role

Pharmacy Technician Home Delivery Call Center

Remote Worldwide
View role

Telehealth Nurse

Remote Worldwide
View role

Nurse, RX Fulfillment

Remote Worldwide
View role

RN: Home Nursing and Telehealth (Hybrid)

Remote Worldwide
View role

Telehealth (GFE) Aesthetic Nurse Practitioner - Lic for OH, PA, FL, GA, MA, MD, NY, VA

Remote Worldwide
View role

*Part-Time* Aesthetic Telehealth Nurse Practitioner, Multistate

Remote Worldwide
View role

reputed company Full-Time Remote Coca-Cola Account Manager Relief - Drive Growth and Deliver Exceptional Customer Experiences

Remote Worldwide
View role

reputed company Customer Service Representative – Remote Customer Support for arenaflex

Remote Worldwide
View role

Desktop Support Technician; IT Tech Support

Remote Worldwide
View role

ESL Teacher, Part-Time – Adult Learners

Remote Worldwide
View role

Software Development Intern

Remote Worldwide
View role

Customer Support Specialist – Technical SaaS, Content Strategy, Community Engagement & Knowledge‑reputed company Management

Remote Worldwide
View role

Software Engineer (L3)

Remote Worldwide
View role

Remote Screenwriter – Screenwriter Jobs Remote Opportunity

Remote Worldwide
View role

Senior Manager- Quality Reporting and Data Analytics

Remote Worldwide
View role

Product Manager

Remote Worldwide
View role