Supv, Health Plan Pharmacy Ops

Supv, Health Plan Pharmacy Ops

Molina Healthcare


San Juan



Supv, Health Plan Pharmacy Ops

Detalles de la oferta

Job Description Job Summary Molina Pharmacy Services/Management staff work to ensure that Molina members have access to all medically necessary prescription drugs and those drugs are used in a cost-effective, safe manner. These jobs are responsible for creating, operating, and monitoring Molina Health Plan's pharmacy benefit programs in accordance with all federal and state laws. Jobs in this family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management), clinical pharmacy services (such as, therapeutic drug monitoring, drug regimen review, patient education, and medical staff interaction), and oversight (establishing and measuring performance metrics with regard to patient outcomes, medications safety and medication use policies). Knowledge/Skills/Abilities The Supervisor, Health Plan Pharmacy Operations supervises Pharmacy Technicians who support the processes involved with the review of non-formulary drugs or other drugs requiring prior authorization. Supervises the unit's daily operations to ensure prompt and appropriate processing of requests for non-formulary or prior authorized required drugs. Ensures that adequate staffing coverage is present at all times of operation. Acts as liaison to internal and external customers to ensure prompt resolution of identified issues. Assists Manager or Director in the collection and tabulation of data for reporting purposes and maintains files of confidential information submitted for review. Assures that activities and processes are compliant with NCQA guidelines and Molina policies and procedures. Participates in the daily workload of the department, performing Technician duties as needed. Interviews potential Pharmacy Technician job applicants and provides hiring recommendations to Manager or Director. Provides coaching for the technicians and helps identify and provide for training needs, in collaboration with the Manager or Director. Communicates with practitioners and pharmacists. Collaborates with and keeps Manager or Director apprised of operational issues, including staffing resources, program and system needs. Develops policies and procedures as needed. Participates in the development of programs designed to enhance preferential or required targeted drugs or supplies.Job Qualifications Required Education Associate's Degree or equivalent combination of education and experience in lieu of degree. Pharmacy Technician who has completed a Certified Pharmacy Technician Training Program. Required Experience 3 - 5 years experience as a Pharmacy Technician, including at least one year in health care delivery. Minimum of one year Pharmacy Prior Authorization experience. Knowledge of prescription drug products, dosage forms and usage. Proficiency in Windows system applications. Required License, Certification, Association Active Pharmacy Technician License Preferred Education Bachelor's Degree or equivalent combination of education and experience. Preferred Experience 5-7 years; previous supervisory experience. Preferred License, Certification, Association National Pharmacy Technician license. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. SDL2017

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