Pharmacy Customer Service Rep (Remote)

Job description

Molina Healthcare is hiring for several Pharmacy Customer Service Representatives. These positions are remote, however those in later time zones are encouraged to apply. This team handles the Pharmacy UM / Prior Authorization calls and services external calls from providers with Medicaid and/or Marketplace members. Our agents assist with all Medicaid and Marketplace member Pharmacy-related calls. This is a pharmacy call center environment focused on first call resolution and the member's experience. Shift times will be Monday through Friday 1PM to 930PM EST and 10AM to 630PM PST all dependent on business needs. Essential Job Duties: - Provides customer service support for inbound/outbound pharmacy calls from members, providers, and pharmacies. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care. - Handles and records inbound/outbound pharmacy calls from members, providers and pharmacies in accordance with departmental policies, state regulations, National Committee of Quality Assurance (NCQA) guidelines, and Centers for Medicare and Medicaid Services (CMS) standards. - Provides coordination...