Pharmacy Care Coordinator - San Antonio, TX

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

Job summary

Join a forward-thinking organization dedicated to improving health outcomes through technology and care. As a Pharmacy Care Coordinator, you'll play a crucial role in supporting pharmacy programs and ensuring that members receive the assistance they need. Your responsibilities will include managing inquiries, coordinating enrollment requests, and providing exceptional customer service. This role offers the opportunity to make a meaningful impact in the community while working in a diverse and inclusive environment. If you're passionate about healthcare and want to grow your career, this position is perfect for you.

Benefits

Comprehensive Benefits

Career Development Opportunities

Diversity and Inclusion Culture

Qualifications

• Strong communication skills to effectively assist members and staff.
• Experience in customer service and eligibility assessment preferred.

Responsibilities

• Respond to escalated pharmacy inquiries and assist with MAP enrollment.
• Conduct calls for patient scheduling and manage eligibility information.

Skills

Communication Skills

Customer Service

Eligibility Assessment

Problem-Solving

Education

High School Diploma

Associate Degree in Health Sciences

Tools

Multi-lined Telephonic System

Pharmacy 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 Pharmacy Care Coordinator will effectively support the successful implementation and execution of all pharmacy programs and processes. The Pharmacy Care Coordinator will provide support to the pharmacy staff to ensure applicable program processes and operational responsibilities are met. The Pharmacy Care Coordinator will be responsible for determining eligibility of members applying for the Medical Assistance Program. 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 Coordinators 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, 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
• Coordinates and assists initial screening of MAP enrollment requests via all communication venues, as well as administrative preparation for clinical staff
• 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

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