Job Details

Job Description

Job Summary

Responsible for ensuring Molina members have access to all medically necessary prescription drugs and that those drugs are used in a cost-effective, and safe manner. Responsible for creating, operating, and monitoring Molina Health Plan's pharmacy services programs in accordance with all federal and state laws.

Knowledge/Skills/Abilities

• Monitor the operational aspects of the Pharmacy Benefits Manager and other delegates to assure compliance with contractual and regulatory requirements.

• Collaborate with other departments to secure the data and analysis necessary to support state reporting and delegation oversight (both internal and external).

• Support and complete all audits as required (SOX, CMS, internal, Network).

• Assist management by preparing and analyzing compliance/audit reports.

• Assist in the implementation and oversight of processes, policies and procedures.

• Prepare, research, and validate information for both internal and external program audits.

• Other duties as assigned

Job Qualifications

Required Education:

Associate's Degree or equivalent combination of education and experience

Required Experience:

3+ years managed care pharmacy or PBM experience

Required Knowledge, Skills and Abilities:

Strong results-oriented, Strong written, verbal and interpersonal skills; Ability to multi-task, prioritize and manage time effectively; Strong Computer skills; advanced Microsoft Office proficiency; detailed oriented, experience with handling large amounts of data, strong analytic skills; able to collaborate cross-functionally; experience working within a team

Preferred Education:

• Bachelor of Science

Preferred Experience:

Prior operational experience executing PBM and Specialty Pharmacy contracts on behalf of large payer(s)

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: $21.16 - $42.2 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.