Pharmacy Care Coordinator Associate

6 hours ago

Eden Prairie, Minnesota, United States UnitedHealth Group Full time
Job Summary

As a Pharmacy Care Coordinator Associate at Optum, you will play a vital role in delivering care and improving health outcomes for millions of people. You will be responsible for conducting in-bound and out-bound calls, completing calls/assignments, and ensuring census management and productivity standards are met.

Key Responsibilities:

  • Conducts in-bound and out-bound calls for program requirements, including medication adherence member outreach calls, reminder calls, prescription refill calls, and provider follow-up calls.
  • Completes calls/assignments and ensures census management and productivity standards are met.
  • Exhibits excellent phone and communication skills while providing complete and accurate information to customers.
  • Receives and responds to escalated inquiries from all communication venues, including task queues, portal, claim queue, and department documentation platform.
  • Performs review of prescription claims documentation, collects and maintains eligibility information in an appropriate and confidential manner.
  • Provides support to internal staff and providers with respect to Medicare drug-related issues, requests 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.
  • Adheres to assigned schedule and quality metrics.
  • Participates in and contributes to the overall pharmacy quality improvement initiatives.
  • Assists in training for new hires and internal staff.
  • Attends required meetings and required participation in special committees as needed.

Requirements:

  • High School Diploma / GED (or higher)
  • 1+ years of call center experience
  • 6+ months of administrative support experience
  • 6+ months of experience in a pharmacy/medical/healthcare setting
  • 6+ months of experience with medical terminology
  • Basic level of proficiency with Microsoft Office products, including Word and Outlook
  • Ability to work an 8-hour shift Monday – Friday 8am-8pm CST with Saturdays on a rotating basis
  • Access to a dedicated work area established that is separated from other living areas and provides information privacy to keep all company sensitive documents secure (if applicable)

Preferred Qualifications:

  • Certified and/or Registered Pharmacy Technician
  • 2+ years of experience in a pharmacy setting
  • Certified Medical Assistant (training or certification)
  • 2+ years of experience in a physician's clinic or hospital
  • Bilingual language proficiency (English/Spanish)

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
  • Ability to work independently, with some supervision and direction from manager

Benefits:

  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase
  • 401k contribution

Application Deadline:

This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected.

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