**Job Description** **Job Summary** Molina Pharmacy Services/Management staff work to ensure that Molina members have access to all medically necessary prescription drugs and those drugs are used in a cost-effective, safe manner. These jobs are responsible for creating, operating, and monitoring Molina Health Plan’s pharmacy benefit programs in accordance with all federal and state laws. **Job Duties** + Provide oversight of the PBM for the Health Plan, including tracking of Service Warranties and Performance guarantees + Standardize operational processes for health plan pharmacy services across pharmacy enterprise including documentation of processes. (i.e. enrollment, encounters, national vendors, user provisioning) + Drive and coordinate Health Plan and/or Corporate projects. + Vendor management including oversight, corrective action plans, (Pharmacy Benefit Manager, Medication Therapy Management, etc) + Training support relative to health plan pharmacy services (Lock-In, Nurse Advice Line, Member/Provider Contact Center) + Support state health plan functions, goals, and initiatives. + Identify trends and implement process changes + Liaison with Member and Provider Service Teams for both Molina and PBM + Maintain Pharmacy SharePoint and provide direction for website + Develop both Routine and Adhoc Member and Provider Communications + Support Pharmacy Manager/Director in reviewing and updating corporate Policies and Procedures to assure compliance with contractual and regulatory requirements + Provide Ad Hoc Reporting + Be the subject matter expert for pharmacy compliance and legislative regulations + Support Corporate Pharmacy Quality Department + Support and complete all audits as required (SOX, CMS, internal, Network) + Primary liaison to PBM for Health Plan **Job Qualifications** **REQUIRED EDUCATION** : Associate’s Degree or equivalent combination of education and experience **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : + 5+ years Managed Care, Pharmacy or PBM experience. + Able to present ideas and information concisely to varied audiences + Excellent verbal and written communication skills + Knowledge of processes and systems to develop and deliver necessary training to departmental staff and internal customers + Positive and effective work relationships with coworkers, clients, members, providers, regulatory agencies, and vendors + Proficiency in compiling data, creating reports and presenting information, including expertise with MS Excel + Ability to meet established deadlines + Ability to function independently and manage multiple projects **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION** : **PREFERRED EDUCATION** : Bachelor's Degree **PREFERRED EXPERIENCE** : Health Plan Pharmacy Operations experience **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : Active and unrestricted State Pharmacy Technician license 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: $59,810.6 - $129,589.63 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.