Pharmacy Program Support Specialist

6 days ago

Eden Prairie, Minnesota, United States Optum Full time
About the Role

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.

We are seeking a highly skilled Pharmacy Care Coordinator to join our team. As a Pharmacy Care Coordinator, you will effectively support the successful implementation and execution of all pharmacy programs and processes. You will provide support to the pharmacy staff to ensure applicable program processes and operational responsibilities are met.

Key Responsibilities
  • Conduct high volume of in-bound and out-bound calls for program requirements including, but not limited to medication adherence member outreach calls, reminder calls, prescription refill calls and provider follow-up calls in a call center environment
  • Comfortable working in high call volume call center environment
  • Completes calls/assignments and productivity weekly and monthly standards are met
  • Provides excellent customer service by serving as a resource to all internal and external customers
  • Perform review of prescription claims documentation collect and maintain eligibility information in an appropriate and confidential manner
  • Exhibits excellent phone and communication skills while providing complete and accurate information to members, providers, and clinical staff
  • Must be able to multi-task using multiple applications to provide accurate and responsive information to the member
  • Adheres to assigned schedule including log in/out time, breaks and lunches. Excellent attendance is a must
  • Receives and responds to escalated inquiries from all communication venues: e.g., task queues, fax portal, claim queue, department documentation platform
  • Provide support to internal staff and providers with respect to Medicare drug related issues. Request 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
  • Participate in and contribute to the overall pharmacy quality improvement initiatives
  • Assist in training for new hires and internal staff
  • Attends required meetings and required participation in special committees as needed
  • Performs other duties as assigned
  • Ability to work independently, with some supervision and direction from manager
  • Demonstrate excellent organizational skills, customer service skills, and verbal and written communication skills to include but not limited to patients, physicians, clinical staff, contracted providers, managers, supervisors and leads
  • Demonstrate a high degree of professionalism to always include personal conduct and appearance
  • Ability to always maintain strict confidentiality with members while abiding by all HIPPA and compliance requirements
  • Compliance with all organizational policies regarding ethical business practices
  • Ability to work any schedule between 8am-8pm CST with the possible inclusion of Saturdays in the future
  • Training is 3- 4 weeks. Training time is 9:00am-6:00pm CST. Monday- Friday. This training time is subject to change
Requirements
  • High School Diploma/GED (or higher)
  • 2+ years of experience in a pharmacy/medical/healthcare setting
  • 1+ year of administrative support experience
  • 1+ year of experience working with Microsoft Office products, including Word, Outlook, and Excel
  • 1+ year of experience with Pharmacy and/or medical terminology knowledge base
  • 1+ years of Call Center experience

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