Supervisor, Pharmacy Operations/Call Center Remote PST/MST

Job description

JOB DESCRIPTION Job Summary Leads and supervises team of pharmacy call center and operations staff responsible to ensure that members have access to medically necessary prescription drugs. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care. Essential Job Duties: - Hires, trains, develops, and supervises a team of pharmacy technicians, pharmacy service representatives, and/or pharmacy internal monitors who support processes involved with the review of non-formulary drugs or other drugs requiring prior authorization. - Supervises pharmacy daily unit operations to ensure prompt and appropriate processing of requests for non-formulary or prior authorized required drugs. - Ensures that average phone call handle time, average speed to answer, and average hold time are compliant with Centers for Medicare and Medicaid Services (CMS) regulations. - Ensures that adequate staffing coverage is present at all times of operation. - Assists pharmacy leadership with monitoring and oversight of Molina's contracted Pharmacy Benefit Manager (PBM) for pharmacy contractually delegated functions. - Responsible...