• Help support and drive the vision for new pharmacy transformation opportunities within the Retail Pharmacy portfolio. • Provide inputs towards a strategic roadmap focused on innovation, operational feasibility, and patient-centric solutions. • Research and analyze market trends, patient needs, and competitive landscape to identify new products and programs. • Build robust business cases for new initiatives, including financial modeling, risk assessment, and implementation planning. • Partner with internal stakeholders across operations, finance, technology, and clinical teams to align on growth priorities. • Influence senior leadership decisions through data-driven insights and strategic recommendations. • Drive the incubation of new growth initiatives from concept to pilot, ensuring timely execution and measurable outcomes.

• Ensuring clinical accuracy and execution of patient prescriptions • Verification of hard copy and digital Rxs • Communication with healthcare professionals, patients and technicians via phone and email • Supervision and execution of incoming and outgoing prescription transfers • Ensure all legal, privacy and compliance requirements are met • Embody AnewHealth’s Core Values in all communications and interactions. • Other duties as assigned.

• Evaluate physician medication orders for drug appropriateness, correct dosage, potential drug interactions, and proper route of administration. • Provide clinical recommendations to physicians and healthcare staff regarding medication therapy changes and optimizations. • Maintain up-to-date patient/resident profiles, including medical history, lab results, and current medications (prescription, OTC, and home remedies). • Ensure laboratory tests required for monitoring high-risk medications are appropriately ordered, reviewed, and communicated to the healthcare team. • Collaborate with physicians, nurses, and other healthcare professionals to provide clinical and technical support. • Document all communications and clinical interventions in the patient’s medical record, including interactions with families and caregivers. • Implement and enforce policies and procedures for the safe handling, dispensing, and clinical oversight/management of medications. • Ensure compliance with all state and federal regulatory requirements related to pharmacy practice and medication management. • Report medication-related errors and adverse drug events to the Pharmacy Manager as required. • Educate and support clinical team and healthcare agency staff on safe and effective medication handling procedures. • Perform other pharmacy-related tasks and responsibilities as assigned.

Role 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. - 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. 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 develop and maintain 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. Benefits Molina Healthcare offers a competitive benefits and compensation package. Company Description Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.