Pharmacy Care Coordinator

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.

ThePharmacy Care Coordinatorwill 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.

Location: You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Schedule: Monday - Friday, between the hours of 8:00AM - 8:00PM CT. Supervisor will determine the schedule.

You'll 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 environment
• Comfortable working in high call volume call center environment
• Completes calls/assignments and productivity weekly and monthly standards are met
• Provides excellent customer service by serving as a resource to all internal and external customers
• Perform review of prescription claims documentation collect and maintain eligibility information in an appropriate and confidential manner
• Exhibits excellent phone and communication skills while providing complete and accurate information to members, providers, and clinical staff
• Must be able to multi-task using multiple applications to provide accurate and responsive information to the member
• Adheres to assigned schedule including log in/out time, breaks and lunches. Excellent attendance is a must
• Receives and responds to escalated inquiries from all communication venues: e.g., task queues, fax portal, claim queue, department documentation platform
• Provide support to internal staff and providers with respect to Medicare drug related issues. Request additional or supplemental information via correspondence to complete applications
• Provides clerical and/or administrative support to clinical staff and managers for special studies, projects, and reports
• Participate in and contribute to the overall pharmacy quality improvement initiatives
• Assist in training for new hires and internal staff
• Attends required meetings and required participation in special committees as needed
• Performs other duties as assigned
• Ability to work independently, with some supervision and direction from manager
• Demonstrate 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 leads
• Demonstrate a high degree of professionalism to always include personal conduct and appearance
• Ability to always maintain strict confidentiality with members while abiding by all HIPPA and compliance requirements
• Compliance with all organizational policies regarding ethical business practices
• Ability to work independently, with some supervision and direction from manager
• Must adhere to all department policies and procedures
• Ability to work any schedule between 8am-8pm CST with the possible inclusion of Saturdays in the future
• Training is 3- 4 weeks. Training time is 9:00am-6:00pm CST. Monday- Friday. This training time is subject to change
  

You'll 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 setting
• 1+ year of administrative support experience
• 1+ year of experience working with Microsoft Office products, including Word, Outlook, and Excel
• 1+ year of experience with Pharmacy and/or medical terminology knowledge base
• 1+ years of Call Center experience
  

Preferred Qualifications:

• Certified/Registered Pharmacy Technician
• 3+ years of experience in a pharmacy setting
• Certified Medical Assistant training or certification
• 3+ years of experience in a physician's clinic or hospital
• Bilingual language proficiency (English/Spanish)
• Experience with Medication Adherence measures
• Salesforce documentation experience
• Rx Claim experience
  

Soft Skills:

• Ability to handle / diffuse escalated issues professionally
• Excellent organizational skills, customer service skills, and verbal and written communication skills to include but not limited to patients, physicians, clinical staff, contracted providers, and managers
• Demonstrate a high degree of professionalism to always include both personal conduct and appearance
• Ability to always maintain strict confidentiality to include but limited to patients and coworkers
• Compliance with all organizational policies regarding ethical business practices
• Adhere to all department policies and procedures
  

Telecommuting Requirements:

• 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)
• Must 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) until UHG group provided internet can be installed
  

California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, Hawaii, Washington, or Washington D.C Residents Only: The hourly range for California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, Hawaii, Washington, or Washington D.C residents is $16.54 to $32.55 per hour. 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, you'll 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 everyone-of every race, gender, sexuality, age, location, and income-deserves 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 - 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 Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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