Rep, MTM Pharmacy Services I
Molina Healthcare Boise, Idaho; Kentucky; Owensboro, Kentucky; Covington, Kentucky; Michigan; Warren, Michigan; Omaha, Nebraska; Dallas, Texas; Augusta, Georgia; Iowa City, Iowa; Cedar Rapids, Iowa; Meridian, Idaho; Lexington-Fayette, Kentucky; Nebraska; Rio Rancho, New Mexico; Rochester, New York; Dayton, Ohio; Chandler, Arizona; Tampa, Florida; Georgia; New York, New York; Ohio; Columbus, Ohio; Texas; Salt Lake City, Utah; Spokane, Washington; Wisconsin; Racine, Wisconsin; Caldwell, Idaho; Louisville, Kentucky; Grand Island, Nebraska; Las Cruces, New Mexico; New Mexico; Akron, Ohio; San Antonio, Texas; Washington; Madison, Wisconsin; Green Bay, Wisconsin; Idaho; Bellevue, Nebraska; Roswell, New Mexico; Cleveland, Ohio; Austin, Texas; Provo, Utah; Utah; Layton, Utah; Orem, Utah; Vancouver, Washington; Tacoma, Washington; Kenosha, Wisconsin; Tucson, Arizona; Florida; Macon, Georgia; Idaho Falls, Idaho; Ann Arbor, Michigan; Santa Fe, New Mexico; Cincinnati, Ohio; Fort Worth, Texas; Houston, Texas; West Valley City, Utah; Bellevue, Washington; Milwaukee, Wisconsin; St. Petersburg, Florida; Savannah, Georgia; Columbus, Georgia; Des Moines, Iowa; Iowa; Davenport, Iowa; Bowling Green, Kentucky; Detroit, Michigan; Sterling Heights, Michigan; Grand Rapids, Michigan; Kearney, Nebraska; Albuquerque, New Mexico; Scottsdale, Arizona; Mesa, Arizona; Jacksonville, Florida; Miami, Florida; Nampa, Idaho; Lincoln, Nebraska; New York; Syracuse, New York; Yonkers, New York; Buffalo, New York; Seattle, Washington; Phoenix, Arizona; Orlando, Florida; Atlanta, Georgia; Sioux City, Iowa Job ID 2030799
Job Description
Job Summary
Molina Pharmacy Services/Management staff work to ensure that Molina members, providers, and pharmacies 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.
The MTM Pharmacy Service Representative is responsible for performing outreach attempts and handle inbound calls for our Molina Healthcare members. Duties include, but are not limited to, transferring members to internal departments for medication reviews, scheduling appointments, and acting as a liaison between other departments.
Job Duties
- Handles and records inbound/outbound pharmacy calls in required systems from members, providers, pharmacists, pharmacies, and technicians to meet departmental and CMS standards.
- Enforce HIPAA compliance standards and regulations while maintaining guidelines and other necessary information for our providers, members, technicians and pharmacists.
- Provides clerical services and support to the pharmacist and technicians staff with day-to-day operations as delegated.
- Follow policies and procedures for appropriate call resolution or transfer to internal departments as required
- Utilize appropriate resources to ensure members contact information is current and up to date.
- Effectively communicate general Medicare and Medicaid plan benefits to existing members.
- Interact with appropriate primary care providers to ensure patient registry is current and accurate.
- Support pharmacists with completion of comprehensive medication reviews through pre-work up to case preparation.
- Proactively identify ways to improve member relations.
Job Qualifications
REQUIRED EDUCATION:
High School Diploma or equivalency
REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:
- 1-3 years of call center or customer service experience
- Excellent customer service skills
- Ability to work independently when assigned special projects, such as pill box requests, CM referrals, OTC requests, etc.
- Strong verbal and written skills and excellent phone etiquette
- Ability to multi-task applications while speaking with members
- Proficient in using Microsoft Office programs (Word, Excel, MS Teams, and Outlook)
PREFERRED EDUCATION:
Associate's Degree
PREFERRED EXPERIENCE:
3-5 years; healthcare industry experience preferred
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.
Pay Range: $21.16 - $28.82 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Type: Posting Date: 03/20/2025ABOUT OUR LOCATION
View Map- National Contracting Director Grand Rapids Michigan, Grand Island Nebraska, Lincoln Nebraska, Rio Rancho New Mexico, Austin Texas, Tucson Arizona, Des Moines Iowa, Sioux City Iowa, Caldwell Idaho, Lexington-Fayette Kentucky, Michigan, Nebraska, Omaha Nebraska, Albuquerque New Mexico, Orem Utah, Provo Utah, Bellevue Washington, Spokane Washington, Green Bay Wisconsin, Kenosha Wisconsin, Mesa Arizona, St. Petersburg Florida, Atlanta Georgia, Idaho, Owensboro Kentucky, Warren Michigan, Kearney Nebraska, New Mexico, Syracuse New York, Dallas Texas, Houston Texas, Orlando Florida, Cedar Rapids Iowa, Ann Arbor Michigan, Buffalo New York, New York, Vancouver Washington, Georgia, Savannah Georgia, Macon Georgia, Davenport Iowa, Idaho Falls Idaho, Louisville Kentucky, Bowling Green Kentucky, Cleveland Ohio, Dayton Ohio, Columbus Ohio, Texas, Layton Utah, Racine Wisconsin, Kentucky, Bellevue Nebraska, Yonkers New York, Akron Ohio, Ohio, Madison Wisconsin, Scottsdale Arizona, Phoenix Arizona, Jacksonville Florida, Florida, Augusta Georgia, Meridian Idaho, Covington Kentucky, Santa Fe New Mexico, Las Cruces New Mexico, Rochester New York, San Antonio Texas, Tacoma Washington, Washington, Chandler Arizona, Miami Florida, Tampa Florida, Columbus Georgia, Iowa City Iowa, Boise Idaho, Detroit Michigan, Sterling Heights Michigan, Roswell New Mexico, Cincinnati Ohio, Fort Worth Texas, Salt Lake City Utah, Utah, West Valley City Utah, Milwaukee Wisconsin, Wisconsin, Iowa, Nampa Idaho 02/27/2025
- Sr BI Analyst - ETL St. Petersburg Florida, Akron Ohio, Idaho, Scottsdale Arizona, Cincinnati Ohio, Washington, Rochester New York, Houston Texas, Dallas Texas, Chandler Arizona, Savannah Georgia, Atlanta Georgia, Iowa, Orlando Florida, Buffalo New York, Dayton Ohio, Wisconsin, Santa Fe New Mexico, Cleveland Ohio, Idaho Falls Idaho, Spokane Washington, Lexington-Fayette Kentucky, Racine Wisconsin, Michigan, Layton Utah, Provo Utah, West Valley City Utah, Augusta Georgia, Grand Island Nebraska, Warren Michigan, Nebraska, Iowa City Iowa, Sterling Heights Michigan, Caldwell Idaho, Detroit Michigan, Tacoma Washington, Boise Idaho, Fort Worth Texas, Albuquerque New Mexico, Texas, Yonkers New York, New York, Columbus Ohio, Orem Utah, San Antonio Texas, Madison Wisconsin, Milwaukee Wisconsin, Sioux City Iowa, New Mexico, Roswell New Mexico, Des Moines Iowa, Salt Lake City Utah, Tampa Florida, Las Cruces New Mexico, Miami Florida, Columbus Georgia, Kearney Nebraska, Grand Rapids Michigan, Kenosha Wisconsin, Green Bay Wisconsin, Louisville Kentucky, Omaha Nebraska, Lincoln Nebraska, Davenport Iowa, Austin Texas, Cedar Rapids Iowa, Bellevue Washington, Macon Georgia, Meridian Idaho, Jacksonville Florida, Ohio, Owensboro Kentucky, Bowling Green Kentucky, Ann Arbor Michigan, Tucson Arizona, Bellevue Nebraska, Rio Rancho New Mexico, Georgia, Utah, Vancouver Washington, Nampa Idaho, Florida, Syracuse New York, Phoenix Arizona, Kentucky, Mesa Arizona, Covington Kentucky 02/19/2025
- Rep, Customer Experience (Remote in NM - PST Shifts) New Mexico 03/31/2025
- Sr Data Scientist - ML/AI/Databricks - Remote Caldwell Idaho, Bowling Green Kentucky, Lexington-Fayette Kentucky, Grand Island Nebraska, Las Cruces New Mexico, Rochester New York, Cleveland Ohio, Cincinnati Ohio, Green Bay Wisconsin, Madison Wisconsin, Kenosha Wisconsin, St. Petersburg Florida, Miami Florida, Jacksonville Florida, Georgia, Macon Georgia, Cedar Rapids Iowa, Idaho Falls Idaho, Owensboro Kentucky, Kentucky, Grand Rapids Michigan, Warren Michigan, Santa Fe New Mexico, Roswell New Mexico, New Mexico, Albany New York, San Antonio Texas, Everett Washington, Tacoma Washington, Scottsdale Arizona, Idaho, Michigan, Washington, Tampa Florida, Iowa, Meridian Idaho, Louisville Kentucky, Albuquerque New Mexico, Utah, Spokane Washington, Chandler Arizona, Florida, Atlanta Georgia, Iowa City Iowa, Boise Idaho, Omaha Nebraska, Kearney Nebraska, Syracuse New York, Yonkers New York, Ohio, Fort Worth Texas, Salt Lake City Utah, West Valley City Utah, Bellevue Washington, Milwaukee Wisconsin, Wisconsin, Tucson Arizona, Orlando Florida, Columbus Georgia, Nampa Idaho, Detroit Michigan, Lincoln Nebraska, Bellevue Nebraska, New York, Racine Wisconsin, Phoenix Arizona, Augusta Georgia, Sioux City Iowa, Covington Kentucky, Ann Arbor Michigan, Rio Rancho New Mexico, Buffalo New York, Texas, Houston Texas, Dallas Texas, Layton Utah, Vancouver Washington, Mesa Arizona, Savannah Georgia, Davenport Iowa, Sterling Heights Michigan, Nebraska, Dayton Ohio, Akron Ohio, Columbus Ohio, Austin Texas, Provo Utah, Orem Utah, Des Moines Iowa 03/31/2025