Associate Pharmacy Care Coordinator - San Antonio, TX

UnitedHealth Group; San Antonio (TX); On-site; Confidential; Full time

Job summary

An established industry player is seeking an Associate Pharmacy Care Coordinator to enhance pharmacy programs and support staff in delivering exceptional care. In this dynamic role, you will engage with patients, manage inquiries, and ensure eligibility processes are handled efficiently. This position offers a chance to make a real difference in healthcare outcomes while working in a supportive environment that values diversity and inclusion. Join a team where your contributions will help advance health equity and improve lives in the community. If you’re passionate about making an impact and growing your career, this opportunity is for you.

Benefits

Paid Time Off

Medical Plan Options

Dental Insurance

401(k) Savings Plan

Education Reimbursement

Employee Discounts

Employee Assistance Program

Employee Referral Bonus Program

Voluntary Benefits

Qualifications

• Strong customer service and communication skills are essential.
• Experience in eligibility assessment and problem-solving is preferred.

Responsibilities

• Respond to escalated pharmacy inquiries and conduct patient outreach calls.
• Maintain eligibility information and assist applicants with program requirements.
• Provide clerical support to clinical staff and ensure productivity standards are met.

Skills

Customer Service Skills

Communication Skills

Problem Solving

Eligibility Assessment

Phone Etiquette

Education

High School Diploma

Associate Degree

Tools

Multi-lined Telephonic System

Patient Management Software

Job description

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 Associate Pharmacy Care Coordinator will effectively support the successful implementation and execution of all pharmacy programs and processes. The Associate Pharmacy Care Coordinator 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. May serve as a subject matter expert for other Pharmacy Care Coordinator on the Quality Pharmacy team.

Schedule: Monday to Friday 9:00am to 6:00pm CST with rotating Saturdays from 8:00am to 5:00pm CST

Location: 19500 W Interstate 10, Building One, Second Floor, San Antonio, Texas, 78257

Primary Responsibilities:

• Receives and responds to escalated pharmacy inquiries from all communication venues: e.g. phone queue, portal, claim queue, department e-mail box or fax
• Conducts in-bound and out-bound calls for program requirements including, but not limited to patient scheduling, surveys/screenings, reminder calls, census management and distribution of materials to appropriate clinical personnel or patients
• Initiates the process of granting, modifying, denying, or terminating assistance, or referring applicants to other agencies for assistance
• Collects and maintains eligibility information in an appropriate and confidential manner
• Interviews applicants by phone for program requirements
• Enters all assigned applications within a specified time frame to ensure eligibility deadlines are met accordingly
• Exhibits excellent phone and communication skills while providing complete and accurate information to customers
• Requests additional or supplemental information via correspondence to complete applications
• Adheres to assigned schedule and quality metrics
• Uses a multi-lined telephonic system to answer calls regarding eligibility requirements
• Maintains abreast of program qualifications to troubleshoot problems that may arise during the eligibility process
• May serve as a subject matter expert for other Care Team Associates on the Quality Pharmacy team
• Completes calls/assignments and ensures census management, productivity weekly and monthly standards are met
• Provides clerical and/or administrative support to clinical staff and managers for special studies, projects and reports
• Provides excellent customer service by serving as a resource to all internal and external customers
• Attends required meetings and participates in special committees as needed
• Performs other duties as assigned

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
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life & AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
• More information can be downloaded at: http://uhg.hr/uhgbenefits

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