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 Pharmacy Care Coordinator will effectively support the successful implementation and execution of all pharmacy programs and processes. The Associate will provide support to the pharmacy staff to ensure applicable program processes and operational responsibilities are met. This position will also provide support in troubleshooting any member issues identified by the pharmacy staff during member outreach calls.

Candidates must be available to work any schedule between 8am-8pm CST with the possible inclusion of Saturdays in the future. Training is 3-4 weeks. Training schedule is Monday-Friday, 9am-6pm CST. This training schedule is subject to change.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities

Conducts 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 independently, with some supervision and direction from manager
Must adhere to all department policies and procedures

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

High School Diploma/GED (or higher)
2+ years of experience in a pharmacy/medical/healthcare setting
1+ years of administrative support experience
1+ years of experience working with Microsoft Office products, including Word, Outlook, and Excel
1+ years of experience with Pharmacy and/or medical terminology knowledge base
1+ years of call center experience

Preferred Qualifications

Certified/Registered Pharmacy Technician
3+ years of experience in a pharmacy setting
Certified Medical Assistant training or certification
3+ years of experience in a physician’s clinic or hospital
Bilingual language proficiency (English/Spanish)
Experience with Medication Adherence measures
Salesforce documentation experience
Rx Claims experience
All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, Hawaii, Washington or Washington, D.C. Residents Only: The hourly range for California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, Hawaii, Washington or Washington, D.C. residents is $16.54 to $32.55 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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

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