[Skip to main content](#main-content) [OpenNash Jobs](https://jobs.opennash.com/) [Hiring report](/reports/hiring/) · [All Molina Healthcare jobs](https://jobs.opennash.com/companies/molina-healthcare/) · [Search jobs](/search/) Molina Healthcare · NM, United States # Pharmacy Customer Service Representative (Remote) Must Reside in NM NM, United States Remote Healthcare & Clinical Listed on Molina Healthcare’s official careers site. Posted October 7, 2026. Check that it is still open and apply there. [Apply on Molina Healthcare’s careers site →](https://hckd.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1/job/2039580) [OpenNash Jobs](https://jobs.opennash.com/) / [Molina Healthcare](https://jobs.opennash.com/companies/molina-healthcare/) / Pharmacy Customer Service Representative (Remote) Must Reside in NM ## Job description Molina Healthcare is Hiring a Pharmacy Customer Service Representative. This role is remote; however candidates must reside in New Mexico. This role will provide customer service support for inbound and outbound pharmacy calls from members, providers, and pharmacies. This role contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care. Shift will be Monday through Friday 11am to 730pm MST. ### Essential Job Duties - Handles and records inbound/outbound pharmacy calls from members, providers and pharmacies in accordance with departmental policies, state regulations, National Committee of Quality Assurance (NCQA) guidelines, and Centers for Medicare and Medicaid Services (CMS) standards. - Provides coordination and processing of pharmacy prior authorization requests and/or appeals. - Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other necessary information to providers, members and pharmacies. - Assists with clerical tasks and other day-to-day pharmacy call center operations as delegated. - Effectively communicates plan benefit information, including but not limited to: formulary information, copay amounts, pharmacy location services and prior authorization outcomes. - Assists members and providers with initiating verbal and written coverage determinations and appeals. - Records calls accurately within the pharmacy call tracking system. - Maintains established pharmacy call quality and quantity standards. - Interacts with appropriate primary care providers to ensure member registry is current and accurate. - Supports pharmacists with completion of comprehensive medication reviews (CMRs)through pre-work up to case preparation. - Proactively identifies ways to improve pharmacy call center member relations. ### Required Qualifications - At least 1 year related experience, including call center or customer service experience, or equivalent combination of relevant education and experience. - Excellent customer service skills. - Ability to work independently when assigned special projects, such as pill box requests, case management referrals, over the counter (OTC) requests, etc. - Ability to multi-task applications while speaking with members. - Ability to develop and maintain positive and effective work relationships with coworkers, clients, members, providers, regulatory agencies, and vendors. - Ability to meet established deadlines. - Ability to function independently and manage multiple projects. - Excellent verbal and written communication skills, including excellent phone etiquette. - Microsoft Office suite (including Excel), and applicable software program(s) proficiency. ### Preferred Qualifications - Certified Pharmacy Technician (CPhT) and/or state pharmacy technician license (state specific if state required). If licensed, license must be active and unrestricted in state of practice. - Health care industry experience. - Bilingual, Spanish candidate encouraged to apply. ### To all current Molina employees If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V ## At a glance - Posted by the employer: Oct 7, 2026 - First seen by OpenNash: Oct 11, 2026 - Last checked: Oct 18, 2026 - Listed for: 11 days - Location: NM, United States - Work arrangement: Remote[Apply on Molina Healthcare’s careers site →](https://hckd.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1/job/2039580) ## More jobs at Molina Healthcare ### [Representative, Support Center (Bilingual English/Spanish)](https://jobs.opennash.com/companies/molina-healthcare/jobs/432f555ebee5944bdd2f/) NM, United States ### [Senior Specialist, Health Plan Provider Engagement (Remote in NM)](https://jobs.opennash.com/companies/molina-healthcare/jobs/e15c84870a26dc086640/) NM, United States ### [Associate Analyst, Provider Configuration](https://jobs.opennash.com/companies/molina-healthcare/jobs/8536d4cf5ecef9181415/) United States ### [Associate Representative, Health Plan Provider Relations-NY City](https://jobs.opennash.com/companies/molina-healthcare/jobs/f386172bfaacaf413d7e/) New York, NY, United States ### [Care Manager](https://jobs.opennash.com/companies/molina-healthcare/jobs/41373827bdd777441008/) Long Beach, CA, United States ## Similar jobs at other companies ### [Customer Service Representative](https://jobs.opennash.com/companies/genuine-parts/jobs/f6dabec2462588201643/) Genuine Parts · Albany, NY ### [Customer Service Representative](https://jobs.opennash.com/companies/genuine-parts/jobs/106f2f846443006e31ef/) Genuine Parts · Anchorage, AK ### [Customer Service Representative](https://jobs.opennash.com/companies/sanmina-sci/jobs/ea1e864ed0aed28ce1ab/) Sanmina-SCI · Tatabanya, HU ### [Representative II, Customer Service Operations](https://jobs.opennash.com/companies/cardinal-health/jobs/a42b919930b550400ad9/) Cardinal Health · International ### [Customer Service Representative](https://jobs.opennash.com/companies/albertsons/jobs/411a7dc1f9568058b68d/) Albertsons · Melrose, MA, United States OpenNash lists jobs from employers’ own careers sites and does not handle applications. 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