Current jobs related to Senior Pharm PA/Appeals Technician - Lubbock - UnitedHealth Group

  • IT Support Senior Technician

    4 weeks ago

    Lubbock, United States Texas Tech University Full time

    38649BR Extended Job Title: IT Support Senior Technician Position Description: The Senior IT Support Technician has an expert level of technical knowledge and experience in one or more IT-related areas. This position's scope of responsibility includes providing technical support and assistance to departments, faculty, staff, and students with the use of...

  • Clinical Psychologist Lubbock, Texas

    4 months ago

    Lubbock, United States Senior PsychCare Full time

    Job DescriptionJob DescriptionSalary: Up to 160K, DOESenior PsychCare has an immediate opportunity for a Licensed Psychologist in Lubbock, TexasAbout Us:Senior Psych Care (SPC) provides fully integrative behavioral health services to individuals in Nursing Homes and Assisted Living Facilities across Texas. Nurse Practitioners (NP’s) and Physician...

  • IT Support Senior Technician

    3 weeks ago

    Lubbock, United States Texas Tech University Full time

    Lubbock IT Support Senior Technician 38649BR VP Research Position Description The Senior IT Support Technician has an expert level of technical knowledge and experience in one or more IT-related areas. This position's scope of responsibility includes providing technical support and assistance to...

  • IT Support Senior Technician

    4 days ago

    Lubbock, Texas, United States Texas Tech University Full time

    Job SummaryWe are seeking a highly skilled Senior IT Support Technician to join our team at Texas Tech University. As a key member of our IT department, you will provide expert-level technical support and assistance to departments, faculty, staff, and students with the use of hardware and software.Key ResponsibilitiesProvide technical support and assistance...

  • Nurse Practitioner or Physician Assistant

    3 months ago

    Lubbock, United States Senior PsychCare Full time

    Job DescriptionJob DescriptionSalary: This position requires advanced Psychiatric Skill Sets. You must have experience prescribing and/or recommending psychotropic medications in a Psychiatric Setting.Locations: Lubbock, TexasAbout Us:Senior Psych Care (SPC) provides fully integrative behavioral health services to individuals in Nursing Homes and Assisted...

  • Utility Technician

    5 days ago

    Lubbock, Texas, United States Life Care Full time

    ### Job Title: Utility Technician #### Job Summary We are seeking a highly skilled Utility Technician to join our team at Carillon Senior Living. As a Utility Technician, you will play a vital role in maintaining a superior level of quality service and cleanliness in our Community Culinary Services Department. #### Key Responsibilities * Set up the dish...

  • Fire Alarm Technician

    4 months ago

    Lubbock, United States Firetrol Protection Systems Full time

    Job DescriptionJob DescriptionFounded in 1984, Firetrol is the national leader in fire protection & life safety services. We are currently seeking skilled Fire Alarm Technicians to join our team of over 900 of the best fire protection professionals in the industry. This position of Fire Alarm Technician will be remote for the Eastern New Mexico area....

  • Maintenance Technician

    2 weeks ago

    Lubbock, Texas, United States Campus Life & Style Full time

    About the RoleCampus Life & Style is seeking a skilled Maintenance Technician to join our team. As a key member of our operations team, you will play a critical role in ensuring the physical condition of our properties is maintained to the highest standards.Key ResponsibilitiesCustomer Service: Provide exceptional customer service to residents, prospects,...

  • Pharmacist - Long-Term Care Specialist

    2 weeks ago

    Lubbock, Texas, United States PharMerica Full time

    Job SummaryPharMerica is seeking a highly skilled and motivated Pharmacist to join our team. As a Pharmacist - Long-Term Care Specialist, you will play a critical role in providing exceptional patient care and support to our clients in long-term care facilities.Key ResponsibilitiesEvaluate physician medication orders for appropriateness, making...

  • Pharmacy Manager

    4 days ago

    Lubbock, Texas, United States Walgreens Full time

    Job SummaryWe are seeking a highly skilled Pharmacy Manager to join our team at Walgreens. As a key member of our pharmacy leadership team, you will be responsible for overseeing the daily operations of our pharmacy, ensuring that our patients receive exceptional care and service.Key ResponsibilitiesPatient Experience: Provide empathetic and personalized...

  • Maintenance Technician

    3 weeks ago

    Lubbock, United States VITALITY Senior Living Full time

    Join Our Team at Vitality Living as an Maintenance Technician at Vitality Living Shadow Hills! At Vitality Living, we are more than just a place of work; we are a vibrant community dedicated to creating meaningful experiences for our residents, families, and team members. At Vitality, everyone is not only encouraged to be themselves but celebrated for it!...

  • Landscape Maintenance Specialist

    3 weeks ago

    Lubbock, Texas, United States Alliance Credit Union Full time

    Job OverviewRole: Grounds Maintenance TechnicianOrganization: Alliance Credit UnionThe Grounds Maintenance Technician will be responsible for ensuring the aesthetic and functional quality of the outdoor spaces across all branches. Key responsibilities include:Supporting the Facilities Manager with various maintenance initiativesExecuting landscaping duties...

  • Pharmacist - Long-Term Care Specialist

    2 weeks ago

    Lubbock, Texas, United States PharMerica Full time

    About the RolePharMerica is seeking a highly skilled and motivated Pharmacist to join our team. As a leading provider of pharmacy services to hospitals, rehabilitation facilities, and long-term care centers, we offer a unique opportunity to grow your pharmaceutical skills and provide exceptional patient care.Key ResponsibilitiesEvaluate physician medication...

  • Senior Surgical Technician

    2 weeks ago

    Lubbock, Texas, United States Covenant Health Full time

    About the RoleWe are seeking a highly skilled and detail-oriented Surgical Technician to join our team at Covenant Health. As a Surgical Technician, you will play a critical role in maintaining the operating room sterile field and assisting the surgical team during procedures.Key ResponsibilitiesMaintain the operating room sterile field and ensure proper...

  • Landscape Maintenance Specialist

    3 weeks ago

    Lubbock, Texas, United States Alliance Credit Union Full time

    Job OverviewRole: Grounds Maintenance TechnicianOrganization: Alliance Credit UnionAs a Grounds Maintenance Technician, you will play a crucial role in ensuring the aesthetic appeal and functionality of our facilities. Your responsibilities will include:Supporting the Facilities Vice President with various maintenance tasks and requests.Executing landscaping...

  • Staff Pharmacist

    5 days ago

    Lubbock, Texas, United States CVS Health Full time

    Job SummaryCVS Health is seeking a highly skilled Staff Pharmacist to join our team. As a Staff Pharmacist, you will play a critical role in delivering exceptional patient care and contributing to the success of our pharmacy operations.Key ResponsibilitiesProvide expert clinical guidance and support to patients and colleaguesLead and direct Pharmacy...

  • Pharmacist - 3rd Shift Opportunity

    4 days ago

    Lubbock, Texas, United States BrightSpring Health Services Full time

    About the RoleWe are seeking a highly skilled and motivated pharmacist to join our team in a 3rd shift position. As a clinical pharmacist, you will play a critical role in providing exceptional patient care and ensuring the safe and effective use of medications.ResponsibilitiesEvaluate physician medication orders for appropriateness and make recommendations...

  • Pharmacist - Long-Term Care Specialist

    5 days ago

    Lubbock, Texas, United States BrightSpring Health Services Full time

    About the RoleWe are seeking a highly skilled and motivated Clinical Pharmacist to join our team at PharMerica. As a Clinical Pharmacist, you will play a critical role in providing exceptional patient care and medication management services to our patients in long-term care settings.Key ResponsibilitiesEvaluate physician medication orders for...

  • Pharmacist - Long-Term Care Specialist

    7 days ago

    Lubbock, Texas, United States PharMerica Full time

    About the RoleWe are seeking a highly skilled and motivated pharmacist to join our team at PharMerica. As a key member of our healthcare team, you will play a vital role in providing exceptional patient care and support to our patients in long-term care settings.ResponsibilitiesEvaluate physician medication orders for appropriateness, making recommendations...

  • Senior Generator Service Technician

    3 weeks ago

    Lubbock, Texas, United States Stewart & Stevenson Full time

    Position SummaryStewart & Stevenson is seeking a highly skilled Generator Field Service Technician III. This role involves diagnosing issues and executing intricate mechanical, electrical, hydraulic, and pneumatic repairs on various equipment at client locations, including oil field machinery.Key ResponsibilitiesEffectively troubleshoot and identify issues...

Senior Pharm PA/Appeals Technician

4 months ago

Lubbock, United States UnitedHealth Group Full time

Realistic Job Preview video

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. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

The essential functions of a Pharmacy Technician in Prior Authorization are providing expertise and customer service support to members, customers, and/or providers. This position exists to take incoming requests for prior authorizations, for formulary and non-formulary medications, while ensuring a high level of customer service and maximizing productivity. Requests can be received via fax or telephone, from providers' offices and pharmacists. The position provides clinical review for authorizations in keeping with legal and contractual requirements, including but not limited to turn around times (TATs) and service level agreements (SLAs). The technician must provide the information clearly, accurately and in a professional manner. Interactions with callers must be documented per contractual and various regulatory / legal requirements.

If you live in the state of Illinois, Iowa, Texas, or Missouri, you will have the flexibility to telecommute* as you take on some tough challenges. 

Primary Responsibilities:

Primarily answering prior authorization with inbound calls (up to 50 to 70 calls per day) from providers/members as well as research and resolve formulary and benefit issues using the appropriate reference materialProcess authorizations through various computer systems and use of job aid/policies/procedures ensuring the accuracy of all data and updating as necessaryHave sharp attention to detail, using established criteria and guidelines, the pharmacy technician receives and processes prior authorization requests made by providers and members for medications not inherently covered on a member's prescription drug planPatient Safety and Quality of work is paramount and it’s important for employees to have a safe and secure workspace and communicate with their leadership when that safety (equipment, system, information) is compromisedResolve issues and complaints in a timely mannerPerforms other duties as assigned by managementHandles inbound phone requests and gathers member data to provide information for pharmacist consultationsTraining is for 5 weeks. Training time is 8:00am-5:00pm local time. Monday- Friday. This training time is subject to changeShift after training is an 8-hour shift with an hour lunch. Candidate must be available as early as 5am and as late as midnightCandidate will work 5 days a week which may or may not include a weekend day(s)There may be scheduled overtime and/or working on holidays dependent on business needsCandidate must have their own home internet access (internet can be hard wired with Ethernet cord)Candidate must also have a secure workspace/office in their homeCandidate must have level skill with working with PC (ex. using mouse and keyboard, accessing, and navigating through multiple systems and screens)Excellent attendance is a must

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays + Floating HolidayMedical Plan options along with participation in a Health Spending Account or a Health Saving accountDental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage(k) Savings Plan, Employee Stock Purchase PlanEducation ReimbursementEmployee DiscountsEmployee Assistance ProgramEmployee Referral Bonus ProgramFlexible Work ArrangementVoluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)More information can be downloaded at: 

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Licensure Requirement - Must have one of the following active and unrestricted licensure/certifications: Pharmacy Technicians Certification Board (PTCB)State Board of Pharmacy Licensure in state of residenceExCPT – 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 professionalsBasic 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)Ability to work any shift in the 7:00 AM to 12:00 AM timeframe with 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 tasksPhysical Requirements and Work Environment: Frequent speaking, listening using a headset, sitting, use of hands/fingers across keyboard or mouse, handling other objects, long periods working at a computerAbility to have their own home internet access (internet can be hard wired with ethernet cord) Have a secure workspace/office in their homeHave level skill with working with PC (ex. using mouse and keyboard, accessing, and navigating through multiple systems and screens)

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and 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.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO, #Green