Pharmacy Care Coordinator

Optum; Jeffersonville (IN); Remote; USD 25,000 - 44,000; Full time

Benefits offered by this job

Paid time off + holidays

Medical plan options

Dental, Vision, Life & AD&D Insurance

Short-term and Long-Term Disability

401(k) and Employee Stock Purchase

Job summary

UnitedHealth Group is seeking a Specialty Prior Authorization Pharmacy Care Coordinator to manage prior authorizations for specialty patients and coordinate with care teams. This remote nationwide role allows telecommuting from anywhere in the U.S.

Primary duties include initiating PA requests, verifying submission preferences, reviewing documentation, and tracking PA outcomes while escalating issues to operations partners as needed. Flexible CST hours apply.

Qualifications

• High School Diploma/GED.
• 1+ years of customer service experience.
• Intermediate level of proficiency with Microsoft Excel, Microsoft Word, Microsoft PowerPoint, and e-mail communication.
• Ability to work full-time with open availability between the hours of 7:00 AM - 7:00 PM CT

Responsibilities

• Initiating PA requests
• Reviewing clinical documentation
• Reviewing provider PA submission preferences
• Accessing multiple Optum resources to check PA status and benefits
• Problem-solve with decisiveness and urgency and elevate to operations partners, team leads, management and other stakeholders
• Ensure patients and providers are supported by following escalation through to finish
• Focus on patient care and quality assurance
• Able to work flexible hours between 7-7pm CST Monday to Friday

Skills

Customer service

Time management

Education

High School Diploma/GED

Tools

Microsoft Excel

Microsoft Word

Microsoft PowerPoint

Email

Job description

Improve the lives of others while Caring. Connecting. Growing together.

Job Description - Pharmacy Care Coordinator (2398848)

REMOTE NATIONWIDE

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.Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities andyour life’s best work.(sm)

As a Specialty Prior Authorization Pharmacy Care Coordinator, your role will focus on submitting priorauthorizations for specialty patients with acute and chronic disease states.In this role you will be preparing prior authorizations for submission, obtaining support documents for prior authorizations, follow up on prior authorization outcome, addressing issues and handling concerns from other corresponding departments.

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

Primary Responsibilities

• Initiating PA requests
• Reviewing clinical documentation
• Reviewing provider PA submission preferences
• Accessing multiple Optum resources to check PA status and benefits
• Problem-solve with decisiveness and urgency and elevate to operations partners, team leads, management and other stakeholders
• Ensure patients and providers are supported by following escalation through to finish
• Focus on patient care and quality assurance
• Able to work flexible hours between 7-7pm CST Monday to Friday

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.)

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
• 1+ years of customer service experience
• Intermediate level of proficiency withMicrosoft Excel, Microsoft Word, Microsoft PowerPoint, and e-mail communication
• Ability to work full-time with open availability between the hours of 7:00 AM - 7:00 PM CT

Preferred Qualifications

• Prior Authorization Experience
• Licensed Pharmacy Technician
• Experience in pharmacy or healthcare

Soft Skills

• Ability to manage multiple tasks and set priorities
• Ability to establish and execute action plans; able to share your past successes
• Ability to be diplomatic when faced with conflict, and always communicate in a professional and courteous manner
• Ability to produce quality results with a detail-oriented focus
• General knowledge of pharmacy laws, practices and procedures
• Knowledge of insurance and third-party billing systems

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

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $18.00 to $32.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

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

Clinical Pharm Care Consulting

UnitedHealth Group is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need special assistance or accommodation for any part of the application process, please call 1-866-566-8715 to be connected to Recruitment Services. Recruitment Services hours of operation are 7 a.m. to 7 p.m. CT, Monday through Friday.

UnitedHealth Group is a registered service mark of UnitedHealth Group, Inc. The UnitedHealth Group name with the dimensional logo, as well as the dimensional logo alone, are both service marks for the UnitedHealth Group, Inc.

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.