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
Molina Healthcare West Valley City, Utah; Nampa, Idaho; Iowa City, Iowa; Albuquerque, New Mexico; Syracuse, New York; Rochester, New York; Detroit, Michigan; Chandler, Arizona; Georgia; Houston, Texas; Bellevue, Nebraska; Texas; Owensboro, Kentucky; Savannah, Georgia; Lincoln, Nebraska; Racine, Wisconsin; Madison, Wisconsin; Roswell, New Mexico; Grand Rapids, Michigan; Albany, New York; Everett, Washington; Columbus, Georgia; Utah; Boise, Idaho; Akron, Ohio; Layton, Utah; Jacksonville, Florida; Phoenix, Arizona; Salt Lake City, Utah; Lexington-Fayette, Kentucky; Grand Island, Nebraska; Warren, Michigan; Meridian, Idaho; Ohio; Mesa, Arizona; Nebraska; Bellevue, Washington; Idaho; Green Bay, Wisconsin; San Antonio, Texas; Santa Fe, New Mexico; Tucson, Arizona; Buffalo, New York; Macon, Georgia; Milwaukee, Wisconsin; Vancouver, Washington; Des Moines, Iowa; Tacoma, Washington; Dayton, Ohio; Kearney, Nebraska; Cedar Rapids, Iowa; Miami, Florida; Yonkers, New York; Dallas, Texas; Orlando, Florida; Fort Worth, Texas; Cincinnati, Ohio; Iowa; Kentucky; Washington; Michigan; Spokane, Washington; New Mexico; St. Petersburg, Florida; Omaha, Nebraska; Davenport, Iowa; Orem, Utah; Augusta, Georgia; Las Cruces, New Mexico; Kenosha, Wisconsin; Provo, Utah; Columbus, Ohio; New York; Caldwell, Idaho; Ann Arbor, Michigan; Atlanta, Georgia; Louisville, Kentucky; Austin, Texas; Sioux City, Iowa; Covington, Kentucky; Bowling Green, Kentucky; Cleveland, Ohio; Sterling Heights, Michigan; Tampa, Florida; Idaho Falls, Idaho; Scottsdale, Arizona; Rio Rancho, New Mexico; Wisconsin; Florida Job ID 2033995Essential Job Duties
• Handles and records inbound/outbound pharmacy calls with members, providers, pharmacists, pharmacies and technicians - ensuring departmental and Centers for Medicare and Medicaid Services (CMS) standards are met.
• Educates Molina members on the urgency, positive impacts, and importance of completing an annual comprehensive medication review with pharmacists, and maintaining good medication adherence.
• Enforces Health Insurance Portability and Accountability Act (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 appropriate 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, such as pill box requests, care management referrals, over the counter (OTC) requests, etc.
• Ability to multi-task applications while speaking with members.
• Ability to develop and maintain 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.
• Excellent verbal and written communication skills, including excellent phone etiquette.
• 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.
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 10/03/2025Job Alerts
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