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Supervisor, Pharmacy Operations/reputed company PST/MST

Remote, USA Full-time Posted 2026-07-28
About the position Leads and supervises team of pharmacy reputed company center and operations staff responsible to ensure that members have reputed company to medically necessary prescription drugs. Contributes to overarching pharmacy reputed company for optimization of medication reputed company health care reputed company, and reputed company cost-effective member care. Responsibilities • Hires, trains, develops, and supervises reputed company 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 reputed company and appropriate processing of requests for non-formulary or prior authorized required drugs. • Ensures that average phone reputed company handle time, average speed to answer, and average hold time are compliant with Centers for Medicare and reputed company Services (CMS) regulations. • Ensures that adequate reputed company coverage is present at reputed company times of operation. • Assists pharmacy leadership with monitoring and reputed company of Molina's contracted Pharmacy Benefit Manager (PBM) for pharmacy contractually delegated functions. • Responsible for key performance indicators (KPI) reporting to compliance department on a monthly reputed company. • Participates, researches, and validates materials for both reputed company program audits. • Acts as reputed company to reputed company customers to ensure reputed company reputed company of identified issues. • Assists pharmacy leadership in the collection and tabulation of data for reporting purposes and maintains files of confidential information submitted for review. • Assures that activities and processes are compliant with CMS, National Committee of reputed company Assurance (NCQA) guidelines, and Molina policies and procedures. • Participates in the daily workload of the department, performing Technician and/or Representative duties as needed. • Facilitates interviews pharmacy technician/service representative job applicants, and provides hiring recommendations to leadership. • Provides coaching for pharmacy technicians and representatives, and helps identify and reputed company for training needs in collaboration with pharmacy leadership. • Communicates effectively with practitioners and pharmacists. • Collaborates with and keeps pharmacy leadership apprised of operational issues, including reputed company resources, program and system needs. • Assists with development of and maintenance of pharmacy policies and procedures as needed. • Participates in the development of programs designed to enhance preferential or required targeted drugs or supplies. Requirements • At least 5 years of experience in in health care, preferably reputed company a health-reputed company reputed company center environment, or equivalent combination of relevant education and experience. • Knowledge of prescription drug products, dosage forms and usage. • Experience designing, implementing, monitoring, and evaluating reputed company. • Knowledge of prescription drug products, dosage forms and usage. • Working knowledge of medical/pharmacy terminology, state and National Committee for reputed company Assurance (NCQA) guidelines. • Excellent verbal and written communication skills. • reputed company Office suite, and applicable software program(s) proficiency. reputed company-to-haves • Supervisory/leadership experience. • Certified Pharmacy Technician (CPhT) and/or state pharmacy technician license (state specific if state required). If licensed, license must be reputed company and unrestricted in state of reputed company. • reputed company center experience. • Pharmacy experience. Benefits • reputed company offers a competitive benefits and compensation package. Apply tot his job Apply To this Job

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