Pharmacy Services Account Manager

Pharmacy Manager

Take the lead in managing a dedicated team of pharmacy staff, ensuring members have access to essential prescription medications. Contribute to the pharmacy strategy aimed at improving healthcare outcomes and delivering quality, cost-effective care to our members.

• Oversee the Pharmacy Benefit Manager (PBM) for assigned health plans, ensuring adherence to service warranties and performance standards.
• Assist in pharmacy-related projects for health plans and corporate initiatives.
• Support state health plan functions, goals, and objectives.
• Serve as the primary pharmacy contact for state agencies as necessary.
• Identify pharmacy trends and drive process improvements to enhance efficiency.
• Collaborate with member and provider service teams for both Molina and the PBM.
• Manage the pharmacy SharePoint site and contribute feedback for website updates.
• Develop regular and ad hoc communications for pharmacy members and providers.
• Support pharmacy leadership in updating state-specific policies and ensuring compliance with contractual and regulatory requirements.
• Prepare and provide ad hoc reporting on pharmacy-related data.
• Provide expert guidance on pharmacy compliance and legislative matters.
• Assist with corporate pharmacy quality initiatives.
• Support state investigations by the Office of Inspector General (OIG).
• Contribute to the state member lock-in program.
• Engage in state-specific formulary management tasks.
• Support health plan pharmacy interactions.
• Resolve urgent issues related to pharmacy services, including handling state complaints.
• Ensure compliance during all pharmacy audits, including SOX, CMS, and internal reviews.
• Act as the main point of contact for the PBM on behalf of health plans.
• Supervise pharmacy staff, holding them accountable for their performance.
• Coach pharmacy staff and assist in identifying training needs in collaboration with pharmacy leadership.

• A minimum of 7 years of experience in pharmacy, pharmacy managed care, or Pharmacy Benefit Management (PBM), or an equivalent combination of education and experience.
• At least 1 year of management or leadership experience.
• Strong ability to present ideas and information clearly to diverse audiences.
• Knowledgeable in developing and delivering training to departmental staff and internal clients.
• Strong interpersonal skills to cultivate positive relationships with coworkers, clients, members, providers, regulatory agencies, and vendors.
• Proficient in data compilation, reporting, and presentation.
• Ability to meet deadlines and manage multiple projects effectively.
• Excellent verbal and written communication skills.
• Proficient in Microsoft Office suite and relevant software programs.

• Certified Pharmacy Technician (CPhT) and/or a valid state pharmacy technician license, or a Doctor of Pharmacy (Pharm
  
  D) degree. If licensed, the license must be active and unrestricted in the state of practice.
• Experience in health plan pharmacy operations.

Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V and offers a competitive benefits and compensation package. Salary range: $60,415 - $117,809 annually, with actual compensation varying based on geographic location, work experience, education, and skill level.