Molina Healthcare is hiring a Pharmacist in our Utilization Management/Prior Auth department.
This position will be working Monday through Friday from 10:00am to 6:30pm CST with rotating weekends and holidays.
Candidates can be licensed in any state but will need to be licensed in AZ and NM within 90 days of employment.
Essential Job Duties
Provides support and subject matter expertise for pharmacy formulary liaison activities between the business and its customers (members, providers and pharmacies) to determine coverage and informative drug use. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care.Acts as a liaison between Molina and its customers (members, providers and pharmacies) with respect to the pharmacy benefit. Serves as the designated formulary expert.Ensures Molina is compliant with the coverage determination and appeals process.<...