Pharmacy Care Professional

6 days ago


San Antonio, Texas, United States Optum Full time

The estimated annual salary for this position is $43,000 - $52,000 based on national averages and location.

About the Job

At 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.
Requirements

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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