Account Specialist, Pharmacy Services

Job Summary

Provides support for pharmacy related activities including data analysis, audit and compliance oversight of pharmacy related policies, procedures and processes.  Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care.

Essential Job Duties

• Collaborates with departments to secure data and analysis necessary to support state reporting, Pharmacy Benefit Manager (PBM) and            delegation oversight (both internal and external).
• Supports and completes all audits as required (SOX, Centers for Medicare and Medicaid Services (CMS), internal, network, etc.)
• Assists management by preparing and analyzing compliance/audit reports.
• Assists in the implementation and oversight of processes, policies and procedures.
• Prepares, researches, and validates information for both internal and external program audits.

Required Qualifications

• At least 2 years of experience in a pharmacy, Pharmacy Benefit Manager(PBM), and/or managed care setting, or equivalent combination of     relevant education and experience.       
• Certified Pharmacy Technician (CPhT) and/or state pharmacy technician license (state specific if state required).  If licensed, license must be active and unrestricted in state of practice.
• Ability to build positive and effective work relationships with coworkers, clients, members, providers, regulatory agencies, and vendors.
• Ability to meet established deadlines.
• Ability to function independently and manage multiple projects.
• Ability to present ideas and information concisely to varied audiences.
• Strong written and verbal communication skills.
• Microsoft Office suite/applicable software program(s) proficiency.  

Preferred Qualifications

• Experience executing Pharmacy Benefit Manager(PBM) and specialty pharmacy contracts on behalf of large payers.

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.

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.