Representative, Medication Therapy Management Services (must Be Bilingual In Spanish)

Medication Therapy Management Pharmacist

Provides customer service support for inbound/outbound pharmacy calls from members, providers, and pharmacies. Contributes to pharmacy strategy for optimization of medication-related health care outcomes and quality cost-effective member care.

Essential Job Duties:

• Handles and records pharmacy calls with members, providers, pharmacists, pharmacies, and technicians ensuring departmental and CMS standards are met.
• Educates Molina members on the importance of completing an annual medication review with pharmacists and maintaining good medication adherence.
• Enforces HIPAA compliance standards and regulations.
• Provides clerical services and support to pharmacists and technician staff, and support for day-to-day pharmacy operations as delegated.
• Adheres to pharmacy policies and procedures related to appropriate call resolution/transfer to internal departments as required.
• Utilizes appropriate resources to ensure member contact information is current and up-to-date.
• Effectively communicates general Medicare and Medicaid plan benefits to existing pharmacy members.
• Interacts with primary care providers to ensure member registry is current and accurate.
• Supports pharmacists with completion of comprehensive medication reviews through pre-work up to case preparation.
• Proactively identifies ways to improve member relations.
• Supports goal to achieve and maintain industry-leading Medicare STAR ratings.

Required Qualifications:

• At least 1 year of related experience, including call center or customer service experience, or equivalent experience combination of relevant education and experience.
• Excellent customer service skills.
• Ability to work independently when assigned special projects.
• Ability to multi-task applications while speaking with members.
• Ability to develop and maintain positive and effective work relationships.
• Ability to meet established deadlines.
• Ability to function independently and manage multiple projects.
• Excellent verbal and written communication skills.
• Microsoft Office suite, and applicable software program(s) proficiency.

Preferred Qualifications:

• Health care industry experience.
• Pharmacy related experience.

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: $21.16 - $28.82 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.