Pharmacy Care Support Specialist

2 weeks ago

Eden Prairie, Minnesota, United States Optum Full time

About Optum: Optum is a worldwide leader in healthcare solutions, leveraging technology to enhance the well-being of millions. Your role within our team will play a crucial part in improving health outcomes by linking individuals with essential care, pharmacy benefits, data, and resources necessary for optimal health. We foster a culture that values diversity and inclusion, offers talented colleagues, comprehensive benefits, and opportunities for career advancement. Join us in making a difference in the communities we serve as we work towards global health equity. Together, we are Caring. Connecting. Growing together.

Work Schedule: Monday to Friday, with an 8-hour shift during business hours of 8am - 8pm CST (most likely 10am - 7pm or 11am - 8pm CST).

You will have the flexibility to work remotely from anywhere within the U.S. while tackling significant challenges.

Key Responsibilities:

  • Manage inbound and outbound communications for program requirements, including medication adherence outreach, reminders, prescription refills, and provider follow-ups in a call center setting.
  • Ensure completion of calls and assignments while meeting census management and productivity standards on a weekly and monthly basis.
  • Demonstrate exceptional communication skills, providing accurate information to customers.
  • Address escalated inquiries from various communication channels, including task queues and documentation platforms.
  • Review prescription claims documentation and maintain eligibility information confidentially.
  • Support internal staff and providers with Medicare drug-related inquiries, requesting additional information as needed.
  • Assist clinical staff and managers with clerical and administrative tasks for special projects and reports.
  • Adhere to scheduled hours and quality metrics.
  • Participate in pharmacy quality improvement initiatives and assist in training new hires.
  • Attend necessary meetings and contribute to special committees as required.
  • Perform additional duties as assigned, demonstrating the ability to work independently with minimal supervision.
  • Exhibit strong organizational skills and professionalism in all interactions.
  • Maintain strict confidentiality regarding patient and coworker information.
  • Comply with all organizational policies and ethical business practices.
  • Work any schedule between 8am-8pm CST, with potential Saturday shifts in the future.
  • Ensure access to a reliable high-speed internet connection for remote work.

In this role, you will be recognized for your performance in a challenging environment that provides clear guidance for success and opportunities for development in other areas of interest.

Required Qualifications:

  • High School Diploma / GED (or higher).
  • At least 6 months of experience in administrative support.
  • Minimum of 6 months of experience in a pharmacy, medical, or healthcare environment.
  • 6 months of call center experience.
  • Familiarity with medical terminology for at least 6 months.
  • Basic proficiency in Microsoft Office applications, including Word and Outlook.
  • Ability to work an 8-hour shift Monday to Friday from 8am-8pm CST, with potential Saturday shifts.
  • Access to a dedicated workspace that ensures information privacy.

Preferred Qualifications:

  • Certification as a Pharmacy Technician.
  • 2+ years of experience in a pharmacy setting.
  • Certification as a Medical Assistant.
  • 2+ years of experience in a clinical or hospital environment.
  • Bilingual proficiency in English and Spanish.

Soft Skills:

  • Ability to professionally manage escalated issues.
  • Excellent organizational, customer service, and communication skills.
  • High degree of professionalism in conduct and appearance.
  • Commitment to maintaining confidentiality.
  • Adherence to all departmental policies and procedures.
  • Capability to work independently with minimal supervision.

*All remote workers must comply with Optum's Telecommuter Policy.

Optum is committed to fostering a diverse workplace and is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

Optum is a drug-free workplace. Candidates are required to pass a drug test before commencing employment.

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