Pharmacy Care Professional
6 days ago
The estimated annual salary for this position is $43,000 - $52,000 based on national averages and location.
About the JobAt Optum, we are seeking a highly motivated Pharmacy Care Professional to join our team. This role will be responsible for making outbound calls to members and physicians to improve medication adherence and other pharmacy-related quality metrics.
Key Responsibilities:
- Conduct high-volume outbound calls to discuss reasons for non-compliance with medication(s), schedule pharmacy telephonic appointments, and/or obtain important follow-up information from providers.
- May answer inbound calls from members and assist them with their inquiries. Route calls to appropriate departments 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 overall pharmacy quality improvement initiatives.
To be successful in this role, you will need:
- A high school diploma or equivalent.
- An active and unrestricted Pharmacy Technician license in the state of Texas.
- National Pharmacy Technician Certification (Certified Pharmacy Technician CPhT).
- At least 1 year of experience in a pharmacy setting.
- At least 1 year of experience in a customer service setting.
- 6+ months of previous call center experience.
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