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Remote Select Rx Pharmacist Jobs in California (NOW HIRING)

Therakos

Regional Business Director, West

Long Beach, CA · Remote

$138K - $198K/yr

Minimum of 5 years in a pharmaceutical/healthcare sales environment, with 2 years of management ... Management reserves the right to change or modify such duties as required. #LI-REMOTE #LI-MR1 At ...

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All JobsSelect Rx Pharmacist JobsRemote Select Rx Pharmacist JobsRemote Select Rx Pharmacist Jobs in California

Remote Select Rx Pharmacist information

What is the difference between Remote Select Rx Pharmacist vs Remote Community Pharmacist?

AspectRemote Select Rx PharmacistRemote Community Pharmacist
CredentialsLicensed Pharmacist, State LicenseLicensed Pharmacist, State License
Work EnvironmentTelepharmacy, Online PlatformsOnline or Phone Consultations, Virtual Support
Employer & IndustryTelehealth Companies, Mail-Order PharmaciesCommunity Pharmacies, Retail Chains
Common Search IntentRemote pharmacy services, Telepharmacy rolesRemote community pharmacy jobs, Patient counseling

The Remote Select Rx Pharmacist and Remote Community Pharmacist roles both require a valid pharmacy license and serve patients remotely. The main difference lies in their work environment and employer type. Remote Select Rx Pharmacists typically work for telehealth companies or mail-order pharmacies providing online services, while Remote Community Pharmacists support local or retail pharmacies via virtual consultations. Both roles focus on patient care but differ in their operational settings and industry usage.

What are popular job titles related to Remote Select Rx Pharmacist jobs in California? For Remote Select Rx Pharmacist jobs in California, the most frequently searched job titles are:
What job categories do people searching Remote Select Rx Pharmacist jobs in California look for? The top searched job categories for Remote Select Rx Pharmacist jobs in California are:
What cities in California are hiring for Remote Select Rx Pharmacist jobs? Cities in California with the most Remote Select Rx Pharmacist job openings:
Remote Select Rx Pharmacist jobs near you
Pharmacist, Utilization Management/Prior Auth (Remote)

Pharmacist, Utilization Management/Prior Auth (Remote)

Molina Healthcare

Long Beach, CA • Remote

Full-time

Posted 4 days ago

New

Molina Healthcare rating

8.1

Company rating: 8.1 out of 10

Based on 193 frontline employees who took The Breakroom Quiz

133rd of 281 rated insurance

Job description

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.
  • Contributes to projects aimed at improving STAR ratings, Healthcare Effectiveness Data Information Set (HEDIS), Consumer Assessment of Healthcare Providers and Services (CAHPS), and other quality metrics.
  • Assists call center pharmacy technicians with clinical questions and phone calls from prescribers, pharmacies and/or members.
  • Develops, implements and maintains pharmacy cost-control and quality initiatives under the direction of leadership.
  • Monitors drug utilization and assists leadership team in understanding quality and cost-control issues related to pharmacy.
  • Works in tandem with Molina medical directors to ensure accurate coverage determination decisions.
  • Works with leadership on developing annual training sessions for applicable staff regarding the pharmacy benefit changes for the upcoming year.
  • Works with the care management department as part of a member-centered interdisciplinary care team (ICT).
  • Works with the Pharmacy Benefit Manager (PBM) to manage formulary changes and update marketing on any changes needed on the web or print versions of the formulary.
  • Performs outreach to members and physicians as part of quality and/or cost-control initiatives.
  • Provides leadership for the pharmacy call center team under the direction of pharmacy senior leadership.
  • Identifies and implements programs to improve clinical outcomes stemming from medication selection, utilization, and adherence.

Required Qualifications

  • At least 3 years of experience in a pharmacy, Pharmacy Benefit Manager(PBM), formulary, and/or managed care setting, and 1-2 years post-graduate experience, or equivalent combination of relevant education and experience.
  • Active and unrestricted Doctor of Pharmacy (PharmD) in applicable state(s).  Current knowledge and expertise in clinical pharmacology and disease management.
  • Ability to present ideas and information concisely to varied audiences.
  • Knowledge of processes and systems necessary to develop and deliver training to departmental staff and internal customers.
  • Ability to develops and maintains positive and effective work relationships with coworkers, members, providers, regulatory agencies and vendors.
  • Proficiency compiling data, creating reports and presenting information.
  • Ability to meet established deadlines.
  • Functions independently and manages multiple projects.
  • Excellent verbal and written communication skills.
  • Microsoft Office suite (including Excel), and applicable software program(s) proficiency.

Preferred Qualifications

Medicare Part D and/or Medicaid experience.
 Managed care 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

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About Molina Healthcare

Sourced by ZipRecruiter

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.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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