Pharmacy Care Coordinator - National Remote

Lensa; Eden Prairie (MN); Remote; USD 60,000 - 80,000; Full time

Job description

Pharmacy Care Coordinator - National Remote

Pharmacy Care Coordinator - National Remote

1 day ago Be among the first 25 applicants

Lensa is the leading career site for job seekers at every stage of their career. Our client, UnitedHealth Group, is seeking professionals. Apply via Lensa today!

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

Hours: Monday-Friday, will work an 8-hour shift during business hours of 8am-8pm CST with a rotating Saturday shift (9am-6pm CST) every 3-4 weeks

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

Primary Responsibilities

• Conducts 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
• Completes calls/assignments and ensure census management, productivity weekly and monthly standards are met
• Exhibits excellent phone and communication skills while providing complete and accurate information to customers
• Receives and responds to escalated inquiries from all communication venues: e.g., task queues, portal, claim queue, department documentation platform
• Perform review of prescription claims documentation collect and maintain eligibility information in an appropriate and confidential manner
• 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
• Adheres to assigned schedule and quality metrics
• Provides clerical and/or administrative support to pharmacy staff and managers for special projects and reports
• Provides excellent customer service by serving as a resource to all internal and external customers
• 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
• 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 and managers
• Demonstrate a high degree of professionalism to always include both personal conduct and appearance
• Ability to always maintain strict confidentiality to include but limited to patients and coworkers
• 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
• Ability to work any schedule between 8am-8pm CST with a rotating Saturday shift (9am-6pm CST) every 3-4 weeks
• Performs other duties as assigned
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
  
  

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 all Microsoft Office products (Word, Outlook. Excel, Teams, etc.)
• 1+ years of experience with medical terminology
• 1+ years of call center experience
• 1+ years of experience with working knowledge of basic troubleshooting systems
• Access to a dedicated work area established that is separated from other living areas and provides information privacy to keep all company sensitive documents secure (if applicable)
• Ability to work an 8-hour shift Monday-Friday from 8am-8pm CST with the possibility of Saturdays in the future on a rotating basis
  
  

Preferred Qualifications

• Certified/Registered Pharmacy Technician
• Certified Medical Assistant training or certification
• Bilingual language proficiency (English/Any Non-English Language)
• Experience with Medication Adherence Hedis Measures (MAD/MAC/MAH)
• Call documentation platform experience
• Rx Claim experience
• Online softphone experience
  
  

Soft Skills

• Ability to handle / diffuse escalated issues professionally
• Excellent organizational skills, customer service skills and verbal and written communication skills to include but not limited to patients, physicians, clinical staff, contracted providers and managers
• Demonstrate a high degree of professionalism to always include both personal conduct and appearance
• Ability to always maintain strict confidentiality to include but limited to patients and coworkers
• Compliance with all organizational policies regarding ethical business practices
• Adherent to all department policies and procedures
• Ability to work independently, with some supervision and direction from manager
• All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
  
  

The salary range for this role is $16.88 to $33.22 per hour based on full-time employment. 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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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

#RPO #GREEN

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other

• Industries

  IT Services and IT Consulting

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