Job Description
- Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.The Pharmacy Care Coordinator will effectively support the successful implementation and execution of all pharmacy programs and processes. The Associate will provide support to the pharmacy staff to ensure applicable program processes and operational responsibilities are met. This position will also provide support in troubleshooting any member issues identified by the pharmacy staff during member outreach calls.Schedule: 40-hour work week with and 8 hour shift, Monday through Friday 8:00am to 8:00pm CST with rotating Saturdayâs from 9:00am to 6:00pm CSTLocation: Remote NationwideYouâll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:Conducts high volume of in-bound and out-bound calls for program requirements including, but not limited to medication adherence member outreach calls, reminder calls, prescription refill calls and provider follow-up calls in a call center environmentComfortable working in high call volume call center environmentCompletes calls/assignments and productivity weekly and monthly standards are metProvides excellent customer service by serving as a resource to all internal and external customersPerform review of prescription claims documentation collect and maintain eligibility information in an appropriate and confidential mannerExhibits excellent phone and communication skills while providing complete and accurate information to members, providers, and clinical staffMust be able to multi-task using multiple applications to provide accurate and responsive information to the memberAdheres to assigned schedule including log in/out time, breaks and lunches. Excellent attendance is a mustReceives and responds to escalated inquiries from all communication venues: e.g., task queues, fax portal, claim queue, department documentation platformProvide support to internal staff and providers with respect to Medicare drug related issues. Request additional or supplemental information via correspondence to complete applicationsProvides clerical and/or administrative support to clinical staff and managers for special studies, projects, and reportsParticipate in and contribute to the overall pharmacy quality improvement initiativesAssist in training for new hires and internal staffAttends required meetings and required participation in special committees as neededPerforms other duties as assignedAbility to work independently, with some supervision and direction from managerDemonstrate excellent organizational skills, customer service skills, and verbal and written communication skills to include but not limited to patients, physicians, clinical staff, contracted providers, managers, supervisors and leadsDemonstrate a high degree of professionalism to always include personal conduct and appearanceAbility to always maintain strict confidentiality with members while abiding by all HIPPA and compliance requirementsCompliance with all organizational policies regarding ethical business practicesAbility to work independently, with some supervision and direction from managerMust adhere to all department policies and proceduresAbility to work any schedule between 8am-8pm CST with the possible inclusion of Saturdays in the futurePerforms other duties as assignedWhat are the reasons to consider working for UnitedHealth Group? Put it all together â competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:Paid Time Off which you start to accrue with your first pay period plus 8 Paid HolidaysMedical Plan options along with participation in a Health Spending Account or a Health Saving accountDental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage401(k) Savings Plan, Employee Stock Purchase PlanEducation ReimbursementEmployee DiscountsEmployee Assistance ProgramEmployee Referral Bonus ProgramVoluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)More information can be downloaded at:Youâll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.Required Qualifications:High School Diploma / GED (or higher)2+ years of experience in a pharmacy/medical/healthcare setting1+ years of administrative support experience1+ years ofexperience working with Microsoft Office products, including Word, Outlook, and Excel1+ years ofexperience with Pharmacy and/or medical terminology knowledge base1+ years of call center experienceMust live in a location that can receive a UnitedHealth Group approved high-speed internet connection and installation.Candidate must have their own home internet access (internet can be hard wired with Ethernet cord)Required to have a location/workspace in the home that is separate from non-workspace areas and can be secured to maintain PHI or PII security in line with UnitedHealth Group policies and standard. Ability to keep all company sensitive documents secure (if applicable)Preferred Qualifications:Certified/Registered Pharmacy Technician3+ years of experience in a pharmacy settingCertified Medical Assistant training or certification3+ years of experience in a physicianâs clinic or hospitalBilingual language proficiency (English/Spanish)Experience with Medication Adherence measuresCall Documentation experienceRx Claim experienceSoft Skills:Ability to work independently and maintain good judgment and accountabilityDemonstrated ability to work well with health care providersStrong organizational and time management skillsAbility to multi-task and prioritize tasks to meet all deadlinesAbility to work well under pressure in a fast-paced environmentExcellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others
- All Telecommuters will be required to adhere to UnitedHealth Groupâs Telecommuter Policy. The salary range for this role is $16.88to $33.22per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, youâll find a far-reaching choice of benefits and incentives.Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneâof every race, gender, sexuality, age, location, and incomeâdeserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes â an enterprise priority reflected in our mission.Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.UnitedHealth Groupis a drug â free workplace. Candidates are required to pass a drug test before beginning employment.#RPO #GREEN
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