Rep, MTM Pharmacy Services I
Molina Healthcare Everett, Washington; Albany, New York; 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; 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; Phoenix, Arizona; Orlando, Florida; Atlanta, Georgia; Sioux City, Iowa Job ID 2030799
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, Â pharmacists, pharmacies, and technicians to meet departmental and CMS standards.Â
- 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: $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: Posting Date: 03/20/2025ABOUT OUR LOCATION
View Map- Lead Data Analyst (Medicare Stars) Everett Washington, Albany New York, Idaho Falls Idaho, Kearney Nebraska, Augusta Georgia, Columbus Georgia, Nampa Idaho, Detroit Michigan, Albuquerque New Mexico, Ann Arbor Michigan, Cleveland Ohio, Rio Rancho New Mexico, Dayton Ohio, Washington, Madison Wisconsin, Boise Idaho, Owensboro Kentucky, Michigan, Sterling Heights Michigan, Yonkers New York, Columbus Ohio, Cincinnati Ohio, San Antonio Texas, Salt Lake City Utah, Layton Utah, Bellevue Washington, Phoenix Arizona, Miami Florida, Savannah Georgia, Macon Georgia, St. Petersburg Florida, Meridian Idaho, Warren Michigan, Grand Island Nebraska, Omaha Nebraska, Chandler Arizona, Akron Ohio, Green Bay Wisconsin, Mesa Arizona, Jacksonville Florida, Georgia, Caldwell Idaho, Covington Kentucky, Grand Rapids Michigan, Las Cruces New Mexico, Lincoln Nebraska, Rochester New York, Orem Utah, Provo Utah, Vancouver Washington, Kenosha Wisconsin, Milwaukee Wisconsin, Tampa Florida, Orlando Florida, Idaho, Kentucky, New York, Buffalo New York, New York New York, Austin Texas, Houston Texas, West Valley City Utah, Tucson Arizona, Davenport Iowa, Cedar Rapids Iowa, Bowling Green Kentucky, Nebraska, Santa Fe New Mexico, New Mexico, Fort Worth Texas, Utah, Tacoma Washington, Racine Wisconsin, Wisconsin, Sioux City Iowa, Iowa, Louisville Kentucky, Lexington-Fayette Kentucky, Roswell New Mexico, Syracuse New York, Bellevue Nebraska, Ohio, Texas, Dallas Texas, Spokane Washington, Seattle Washington, Scottsdale Arizona, Florida, Atlanta Georgia, Des Moines Iowa, Iowa City Iowa 03/18/2025
- Principal Data Scientist - Generative AI, Machine Learning, Python, R - Remote Albany New York, Everett Washington, Austin Texas, Bellevue Nebraska, Meridian Idaho, Scottsdale Arizona, Miami Florida, Grand Rapids Michigan, Sterling Heights Michigan, Akron Ohio, Ann Arbor Michigan, Salt Lake City Utah, Orlando Florida, Lexington-Fayette Kentucky, Des Moines Iowa, Lincoln Nebraska, Yonkers New York, Kenosha Wisconsin, Albuquerque New Mexico, Las Cruces New Mexico, Spokane Washington, Vancouver Washington, New York New York, Macon Georgia, Syracuse New York, Columbus Ohio, Boise Idaho, Caldwell Idaho, Green Bay Wisconsin, Augusta Georgia, Iowa City Iowa, Madison Wisconsin, West Valley City Utah, Columbus Georgia, San Antonio Texas, Rio Rancho New Mexico, Provo Utah, Fort Worth Texas, Tampa Florida, Idaho Falls Idaho, Phoenix Arizona, Warren Michigan, Houston Texas, Savannah Georgia, Santa Fe New Mexico, Milwaukee Wisconsin, Tucson Arizona, Roswell New Mexico, Orem Utah, Atlanta Georgia, Mesa Arizona, Cleveland Ohio, Racine Wisconsin, Detroit Michigan, Tacoma Washington, Jacksonville Florida, Seattle Washington, Grand Island Nebraska, Owensboro Kentucky, Nampa Idaho, Kearney Nebraska, Rochester New York, Louisville Kentucky, Cedar Rapids Iowa, Davenport Iowa, Dallas Texas, Sioux City Iowa, Covington Kentucky, Chandler Arizona, Omaha Nebraska, Buffalo New York, Bellevue Washington, Bowling Green Kentucky, Layton Utah, Cincinnati Ohio, Iowa, New Mexico, Utah, Washington, Kentucky, Nebraska, Georgia, Michigan, New York, Ohio, Florida, Idaho, Texas, Wisconsin 11/06/2024
- Rep, Customer Experience Boise Idaho, Ohio, Iowa City Iowa, Bowling Green Kentucky, Sioux City Iowa, Idaho Falls Idaho, Grand Island Nebraska, Meridian Idaho, Caldwell Idaho, Kentucky, Nampa Idaho, Covington Kentucky, Lexington-Fayette Kentucky, Lincoln Nebraska, Cedar Rapids Iowa, Kearney Nebraska, Davenport Iowa, Louisville Kentucky, Owensboro Kentucky, Iowa, Des Moines Iowa, Idaho, Omaha Nebraska 05/14/2025
- Rep, Customer Experience Racine Wisconsin, Akron Ohio, Layton Utah, Kenosha Wisconsin, Utah, Wisconsin, Florida, Houston Texas, Austin Texas, Green Bay Wisconsin, New Mexico, Atlanta Georgia, West Valley City Utah, Phoenix Arizona, Orem Utah, Las Cruces New Mexico, Tampa Florida, Roswell New Mexico, Detroit Michigan, Savannah Georgia, Cleveland Ohio, Tucson Arizona, Georgia, Miami Florida, Provo Utah, San Antonio Texas, Santa Fe New Mexico, Salt Lake City Utah, Chandler Arizona, Fort Worth Texas, Columbus Ohio, Michigan, Scottsdale Arizona, St. Petersburg Florida, Dayton Ohio, Jacksonville Florida, Rio Rancho New Mexico, Ohio, Columbus Georgia, Dallas Texas, Augusta Georgia, Warren Michigan, Mesa Arizona, Ann Arbor Michigan, Albuquerque New Mexico, Grand Rapids Michigan, Sterling Heights Michigan, Cincinnati Ohio, Texas, Macon Georgia, Orlando Florida, Madison Wisconsin, Milwaukee Wisconsin 05/14/2025
No recently viewed jobs.
View All JobsNo saved jobs.
View All Jobs