ATTENTION JOB SEEKERS AND MOLINA APPLICANTS: FRAUD ALERT
Be aware that third parties posing as Molina Healthcare may be soliciting money from job seekers and extending offers to candidates who have not interviewed. Molina does not engage in these type of practices. If you have received an offer and have not been engaging with Molina Healthcare in an interview process, reach out to erc@molinahealthcare.com to validate the legitimacy of your offer. Please note that Molina has reported this activity to the appropriate law enforcement agencies for further investigation. If you feel you’ve been victimized, please report it to local law enforcement.
Account Specialist, Pharmacy Services
Molina HealthcareAZ, United States; Arizona; Provo, Utah; Houston, Texas; Grand Rapids, Michigan; Chandler, Arizona; Nebraska; Layton, Utah; West Valley City, Utah; Covington, Kentucky; Lexington-Fayette, Kentucky; Sterling Heights, Michigan; Kenosha, Wisconsin; Mesa, Arizona; Fort Worth, Texas; New Mexico; Grand Island, Nebraska; Florida; Georgia; Dayton, Ohio; Jacksonville, Florida; Caldwell, Idaho; Albany, New York; Warren, Michigan; Rio Rancho, New Mexico; Detroit, Michigan; Macon, Georgia; Texas; Racine, Wisconsin; San Antonio, Texas; Phoenix, Arizona; Orem, Utah; Albuquerque, New Mexico; Boise, Idaho; Nampa, Idaho; Orlando, Florida; Milwaukee, Wisconsin; Spokane, Washington; Tampa, Florida; Columbus, Georgia; Roswell, New Mexico; Miami, Florida; Idaho Falls, Idaho; Michigan; Washington; Ohio; Wisconsin; Omaha, Nebraska; Bowling Green, Kentucky; Savannah, Georgia; Tacoma, Washington; Vancouver, Washington; Louisville, Kentucky; Tucson, Arizona; Kearney, Nebraska; Utah; Idaho; Davenport, Iowa; Cleveland, Ohio; Owensboro, Kentucky; Meridian, Idaho; Augusta, Georgia; St. Petersburg, Florida; Iowa City, Iowa; Bellevue, Washington; Bellevue, Nebraska; Scottsdale, Arizona; Las Cruces, New Mexico; Salt Lake City, Utah; Rochester, New York; Iowa; Ann Arbor, Michigan; Akron, Ohio; Santa Fe, New Mexico; Sioux City, Iowa; Buffalo, New York; Dallas, Texas; New York; Cincinnati, Ohio; Des Moines, Iowa; Columbus, Ohio; Everett, Washington; Cedar Rapids, Iowa; Atlanta, Georgia; Yonkers, New York; Kentucky; Syracuse, New York; Madison, Wisconsin; Austin, Texas; Lincoln, Nebraska; Green Bay, Wisconsin Job ID 2033566
Job Description
Job Summary
Responsible for ensuring Molina members have access to all medically necessary prescription drugs and that those drugs are used in a cost-effective, and safe manner. Responsible for creating, operating, and monitoring Molina Health Plan’s pharmacy services programs in accordance with all federal and state laws.
Knowledge/Skills/Abilities
- Monitor the operational aspects of the Pharmacy Benefits Manager and other delegates to assure compliance with contractual and regulatory requirements.
- Collaborate with other departments to secure the data and analysis necessary to support state reporting and delegation oversight (both internal and external).
- Support and complete all audits as required (SOX, CMS, internal, Network).
- Assist management by preparing and analyzing compliance/audit reports.
- Assist in the implementation and oversight of processes, policies and procedures.
- Prepare, research, and validate information for both internal and external program audits.
- Other duties as assigned
Job Qualifications
Required Education:
Associate’s Degree or equivalent combination of education and experience
Required Experience:
3+ years managed care pharmacy or PBM experience
Required Knowledge, Skills and Abilities:
Strong results-oriented, Strong written, verbal and interpersonal skills; Ability to multi-task, prioritize and manage time effectively; Strong Computer skills; advanced Microsoft Office proficiency; detailed oriented, experience with handling large amounts of data, strong analytic skills; able to collaborate cross-functionally; experience working within a team
Preferred Education:
- Bachelor of Science
Preferred Experience:
Prior operational experience executing PBM and Specialty Pharmacy contracts on behalf of large payer(s)
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 - $42.2 / 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 Full Time Posting Date 10/17/2025Job Alerts
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