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.
Representative, Medication Therapy Management Services (Remote)
Molina Healthcare Bellevue, Washington; Kentucky; Ohio; Kenosha, Wisconsin; Cedar Rapids, Iowa; Detroit, Michigan; Iowa City, Iowa; Bowling Green, Kentucky; Macon, Georgia; Idaho Falls, Idaho; Everett, Washington; Austin, Texas; Covington, Kentucky; New York; Tampa, Florida; Ann Arbor, Michigan; Dayton, Ohio; Akron, Ohio; Madison, Wisconsin; Provo, Utah; Vancouver, Washington; Columbus, Ohio; West Valley City, Utah; Sioux City, Iowa; Tacoma, Washington; Georgia; Michigan; Lexington-Fayette, Kentucky; Orlando, Florida; Spokane, Washington; Boise, Idaho; Meridian, Idaho; Iowa; Miami, Florida; Yonkers, New York; Grand Island, Nebraska; Racine, Wisconsin; Buffalo, New York; Mesa, Arizona; Louisville, Kentucky; Des Moines, Iowa; Albany, New York; Savannah, Georgia; Kearney, Nebraska; Roswell, New Mexico; St. Petersburg, Florida; Davenport, Iowa; Layton, Utah; Bellevue, Nebraska; Lincoln, Nebraska; Nampa, Idaho; Sterling Heights, Michigan; Green Bay, Wisconsin; Utah; Wisconsin; Atlanta, Georgia; Omaha, Nebraska; San Antonio, Texas; Phoenix, Arizona; Syracuse, New York; Las Cruces, New Mexico; Grand Rapids, Michigan; Milwaukee, Wisconsin; Rio Rancho, New Mexico; Dallas, Texas; Florida; Nebraska; Chandler, Arizona; Cincinnati, Ohio; Augusta, Georgia; Jacksonville, Florida; Orem, Utah; Albuquerque, New Mexico; Salt Lake City, Utah; Houston, Texas; Caldwell, Idaho; Owensboro, Kentucky; Warren, Michigan; Columbus, Georgia; New Mexico; Idaho; Washington; Texas; Tucson, Arizona; Rochester, New York; Cleveland, Ohio; Santa Fe, New Mexico; Scottsdale, Arizona; Fort Worth, Texas Job ID 2032851Job 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.
Bilingual Spanish Preferred
Shift Available: 10-6:30 PM MST
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
Bilingual Spanish
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: $16.63 - $24.02 / 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 07/23/2025Job Alerts
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