Pharmacist, Utilization Management (UM) (Remote)

About the Role

Molina Healthcare seeks a Pharmacist for Utilization Management to ensure members have access to medically necessary drugs used safely and cost-effectively. This remote role involves formulary management, clinical pharmacy services, and quality initiatives.

Key Responsibilities

• Review coverage determinations and appeals.
• Serve as formulary expert.
• Assist pharmacy technicians and providers.
• Develop pharmacy cost control and quality initiatives.
• Collaborate with medical directors and case management.

Requirements

• Doctor of Pharmacy or bachelor's degree with equivalent experience.
• Active pharmacist license.
• 1-2 years post-graduate experience.
• Managed care or Medicare/Medicaid experience preferred.

Benefits & Compensation

• Competitive benefits and compensation package.
• Health, dental, vision insurance.

Work Schedule

• Not specified.

This role offers a chance to impact pharmacy benefit programs in a managed care setting with remote work flexibility.