Pharmacy Care Technician Associate

2 weeks ago

Texas City, Texas, United States Optum Full time
Pharmacy Care Technician Associate

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. We are seeking a highly skilled Pharmacy Care Technician Associate to join our team.

The successful candidate will be responsible for making outbound calls to members and physicians to improve medication adherence and other pharmacy-related quality metrics. This role requires excellent communication and customer service skills, as well as the ability to work in a fast-paced environment.

Key Responsibilities:

  • Conduct high-volume outbound calls to members to discuss reasons for non-compliance with medication(s), schedule pharmacy telephonic appointments, and/or obtain important follow-up information from providers.
  • Answer inbound calls from members and assist them with their inquiries, routing calls to the appropriate department if necessary.
  • Follow system scripting and validate member demographic information.
  • Document the provider or member's record with accurate information obtained on the call.
  • Perform desk and on-site review of all claims documentation to validate correct billing and that payment made to contracted pharmacies is supported and appropriate.
  • Provide support to internal staff, subcontractors, and providers with respect to Medicare drug-related issues.
  • Participate in and contribute to the overall pharmacy quality improvement initiatives.
  • Collect and maintain eligibility information in an appropriate and confidential manner.
  • Enter all assigned applications within a specified time frame to ensure eligibility deadlines are met accordingly.
  • Exhibit excellent phone and communication skills while providing complete and accurate information to members.
  • Request additional or supplemental information via correspondence to complete applications.
  • Adhere to assigned schedule and quality metrics.
  • Use a multi-lined telephonic system to answer calls regarding eligibility requirements and medication refill orders.
  • Follow all policy and procedures for the Medical Assistance Program.
  • Perform all other related duties as assigned.

Requirements:

  • High School Diploma/GED (or higher)
  • Active and unrestricted Pharmacy Technician license in the state of Texas
  • National Pharmacy Technician Certification (Certified Pharmacy Technician CPhT)
  • 1+ years of experience in a pharmacy setting
  • 1+ years of experience in a customer service setting
  • 6+ months of previous call center experience
  • Basic level of proficiency with Medicare Part D, particularly the pharmacy record review, claims, billing, and reimbursement rules
  • Basic level of proficiency with HIPAA Privacy and Security Rules and CMS security requirements
  • Basic level of proficiency with writing skills and ability to produce work free from typographical or spelling errors
  • Basic level of proficiency with Microsoft Office, Internet, and e-mail, including the ability to produce work free from typos

Preferred Qualifications:

  • Bilingual (any language)
  • PBM experience
  • Advanced knowledge of NCPDP and other types of prescription drug claims is required
  • Knowledge of Medicare Part B and Part D coverage guidelines and payment methodologies

Sign-on Bonus: A $1,000 sign-on bonus is available for external candidates.

Equal Employment Opportunity: 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.

  • Pharmacy Care Technician Associate

    2 weeks ago

    Texas City, Texas, United States Optum Full time

    Pharmacy Care Technician AssociateOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. We are seeking a highly skilled Pharmacy Care Technician Associate to join our team.The successful candidate will be responsible for making outbound calls to members and physicians to improve medication...

  • Pharmacy Technician

    4 days ago

    Texas City, Texas, United States Lifelancer Full time

    About the JobCareMetx is seeking a highly skilled Pharmacy Technician to join our team. As a Pharmacy Technician, you will play a critical role in supporting the patient journey by providing hub services, innovative technology, and decision-making data to pharmaceutical, biotechnology, and medical device innovators.Job SummaryUnder the general supervision of...

  • Pharmacy Technician

    4 days ago

    Texas City, Texas, United States Lifelancer Full time

    About the JobCareMetx is seeking a highly skilled Pharmacy Technician to join our team. As a Pharmacy Technician, you will play a critical role in supporting the patient journey by providing hub services, innovative technology, and decision-making data to pharmaceutical, biotechnology, and medical device innovators.Job SummaryUnder the general supervision of...

  • Certified Pharmacy Technician

    1 week ago

    Horizon City, Texas, United States Walmart Full time

    Job SummaryWe are seeking a skilled Pharmacy Technician to join our team at Walmart Supercenter #3136. As a Pharmacy Technician, you will play a vital role in ensuring the accuracy and efficiency of our pharmacy operations.Key ResponsibilitiesProcess prescriptions and maintain accurate recordsProvide exceptional customer service and support to patientsAssist...

  • Pharmacy Technician

    1 week ago

    Haltom City, Texas, United States Optum Full time

    Pharmacy Technician Job DescriptionWe are seeking a skilled Pharmacy Technician to join our team at Genoa Healthcare, a pharmacy care services company part of Optum and UnitedHealth Group's family of businesses.Job Summary:The Pharmacy Technician will support all functions of the Genoa mental health pharmacy, primarily through dispensing medical...

  • Pharmacy Technician

    2 days ago

    Haltom City, Texas, United States Optum Full time

    Pharmacy Technician Job DescriptionWe are seeking a skilled Pharmacy Technician to join our team at Genoa Healthcare, a pharmacy care services company part of Optum and UnitedHealth Group's family of businesses.Job Summary:The Pharmacy Technician will support all functions of the Genoa mental health pharmacy, primarily through dispensing medical...

  • Pharmacy Care Coordinator

    1 week ago

    Texas City, Texas, United States Optum Full time

    Optum Pharmacy Care Coordinator Job DescriptionAt Optum, we're dedicated to delivering care and improving health outcomes for millions of people worldwide. As a Pharmacy Care Coordinator, you'll play a vital role in connecting patients with the care, pharmacy benefits, and resources they need to thrive.Key Responsibilities:Conduct outbound calls to members...

  • Pharmacy Refill Specialist

    4 weeks ago

    Texas City, Texas, United States Summit Health Inc Full time

    About Our CompanySummit Health Inc is a leading healthcare organization dedicated to delivering high-quality, patient-centered care. Our team of healthcare professionals is committed to simplifying healthcare and bringing a more connected approach to patient care.Job DescriptionJob Summary: We are seeking a highly skilled Pharmacy Refill Specialist to join...

  • Senior Pharmacy Technician

    2 weeks ago

    League City, Texas, United States Houston Methodist Clear Lake Hospital Full time

    Job SummaryWe are seeking a highly skilled and experienced Pharmacy Technician to join our team at Houston Methodist Clear Lake Hospital. As a Senior Pharmacy Technician, you will play a critical role in providing comprehensive pharmacy services, including controlled substance management, chemotherapy compounding, and unit dose dispensing technology.Key...

  • Sterile Compounding Pharmacy Technician

    4 weeks ago

    Missouri City, Texas, United States Optum Full time

    Job SummaryOptum is seeking a highly skilled Pharmacy Technician to join our team in a Sterile Compounding role. As a Pharmacy Technician, you will play a critical role in ensuring the quality and safety of medications prepared in our pharmacy.Key ResponsibilitiesPerform Sterile Compounding: Prepare medications in a sterile environment, adhering to company...

  • Sterile Compounding Pharmacy Technician

    4 weeks ago

    Missouri City, Texas, United States Optum Full time

    Job SummaryOptum is seeking a highly skilled Pharmacy Technician to join our team in a Sterile Compounding role. As a Pharmacy Technician, you will play a critical role in ensuring the quality and safety of medications prepared in our pharmacy.Key ResponsibilitiesPerform Sterile Compounding: Prepare medications in a sterile environment, adhering to company...

  • Pharmacy Technician Trainee

    5 days ago

    Missouri City, Texas, United States Houston Methodist Sugar Land Hospital Full time

    Job SummaryHouston Methodist Sugar Land Hospital is seeking a Pharmacy Technician Trainee to join our team. As a Pharmacy Technician Trainee, you will play a vital role in ensuring the safe and efficient dispensing of medications to our patients.Key ResponsibilitiesAssist pharmacists with medication preparation, dispensing, and labelingTriaging phone calls...

  • Pharmacy Manager

    2 weeks ago

    Bridge City, Texas, United States CVS Health Full time

    Pharmacy Manager Job DescriptionCVS Health is seeking a highly skilled Pharmacy Manager to lead our pharmacy team and drive patient care excellence. As a Pharmacy Manager, you will be responsible for overseeing the daily operations of our pharmacy, ensuring compliance with regulatory requirements, and delivering exceptional patient care.Key...

  • Pharmacy Operations Manager

    6 days ago

    League City, Texas, United States University of Texas Medical Branch Full time

    Job SummaryWe are seeking a highly skilled Pharmacy Technician Supervisor to join our team at the University of Texas Medical Branch. As a Pharmacy Technician Supervisor, you will be responsible for overseeing the operation of the assigned pharmacy areas, including pharmacy business, purchasing and inventory control, human resources, medication safety, and...

  • Pharmacy Director

    2 weeks ago

    Bridge City, Texas, United States CVS Health Full time

    Pharmacy Manager Role at CVS HealthAt CVS Health, we're committed to delivering enhanced human-centric healthcare for a rapidly changing world. As a Pharmacy Manager, you'll play a critical role in bringing our heart to every moment of our patients' health.Key Responsibilities:Lead and direct Pharmacy Staff, comprised of staff Pharmacists and Pharmacy...

  • Pharmacy Operations Manager

    2 weeks ago

    Bay City, Texas, United States Walgreens Full time

    Job SummaryWe are seeking a highly skilled Pharmacy Operations Manager to join our team at Walgreens. As a key member of our pharmacy team, you will be responsible for overseeing the day-to-day operations of our pharmacy, ensuring efficient workflow and a positive patient experience.Key ResponsibilitiesManage pharmacy operations, including supervising...

  • Pharmacy Manager

    3 weeks ago

    Bridge City, Texas, United States CVS Health Full time

    About the RoleAs a Pharmacy Manager at CVS Health, you will play a critical role in delivering exceptional patient care and driving business growth. This leadership position requires a strong passion for pharmacy practice, excellent communication skills, and a proven track record of success in a fast-paced environment.Key ResponsibilitiesPatient Safety and...

  • Patient Care Technician

    5 days ago

    Texas City, Texas, United States HCA Full time

    Job SummaryThe Patient Care Technician plays a vital role in delivering high-quality, patient-centered care by performing a variety of delegated basic patient care services related to common nursing functions and activities of daily living.Key ResponsibilitiesAssists patients with activities of daily living, including eating and drinking, bathing, shaving,...

  • Wind Farm Technician Associate

    2 weeks ago

    Texas City, Texas, United States RWE Full time

    Job SummaryRWE Clean Energy is seeking a highly skilled Wind Farm Technician Associate to join our team. As a key member of our operations and maintenance team, you will play a critical role in ensuring the safe and efficient operation of our wind farms.Key ResponsibilitiesPerform routine maintenance and repairs on wind turbines and associated equipment to...

  • Veterinary Technician

    3 weeks ago

    Texas City, Texas, United States VCA Animal Hospitals Full time

    About VCA Animal HospitalsWe are a community of dedicated professionals committed to providing exceptional care to pets and their owners. Our team is passionate about supporting veterinary technicians and is dedicated to their continuing education and personal career development.Job SummaryWe are seeking a skilled Veterinary Technician to join our team at...