Pharmacy Technician

4 weeks ago


Portland, Oregon, United States UnitedHealth Group Full time
Job Summary

We are seeking a highly skilled Pharmacy Technician to join our team in a Prior Authorization Specialist role. In this position, you will provide expertise and customer service support to members, customers, and/or providers, taking incoming requests for prior authorizations for formulary and non-formulary medications.

Key Responsibilities
  • Provide clinical review for authorizations in keeping with legal and contractual requirements, including turn-around times (TATs) and service level agreements (SLAs)
  • Process authorizations through various computer systems and use of job aid/policies/procedures ensuring the accuracy of all data and updating as necessary
  • Have sharp attention to detail, using established criteria and guidelines, to receive and process prior authorization requests made by providers and members for medications not inherently covered on a member's prescription drug plan
  • Patient Safety and Quality of work is paramount, and it's essential for employees to have a safe and secure workspace and communicate with their leadership when that safety (equipment, system, information) is compromised
  • Resolve issues and complaints in a timely manner
  • Performs other duties as assigned by management
Requirements
  • Active National or State Board Pharmacy Technician Licensure
  • Pharmacy Technicians Certification Board (PTCB)
  • State Board of Pharmacy Licensure in state of residence
  • ExCPT – Pharmacy Technician Certification with National Healthcareer Association (NHA)
  • The National Board of Prior Authorization Specialist
  • 6+ months of customer service/customer relations experience with healthcare professionals
  • Basic level of proficiency with Microsoft Excel (ability to create, edit, and save a basic spreadsheet), Microsoft Word (ability to create, edit, and save a basic document), and Microsoft Outlook (ability to send emails)
  • Able to work 5am to 12 midnight with ability to work flexible hours, including OT and weekends
Preferred Qualifications
  • Knowledge of call center systems such as IEX
Soft Skills
  • Experience and strong communication skills, both written and oral that will help improve Net Promoter Survey (NPS)
  • Ability to follow through on tasks

Why Choose UnitedHealth Group?

  • Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays + Floating Holiday
  • Medical Plan options along with participation in a Health Spending Account or a Health Saving account
  • Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
  • (k) Savings Plan, Employee Stock Purchase Plan
  • Education Reimbursement
  • Employee Discounts
  • Employee Assistance Program
  • Employee Referral Bonus Program
  • Flexible Work Arrangement
  • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer.


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