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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 Optum at Home Pharmacy Stars Team provides a variety of services including United HealthCare at Home (UAH) strategic Medication Adherence outreach initiatives, Care of Older Adults (COA) medication reviews/health assessments, SUPD/SPC provider consultations as well as Poly ACH and COB outreach. Additionally, the team does various outreaches during the year targeted at improving stars measures such as BP and DM consultations with members. The team also supports APC providers via a clinical consultation service. All services are provided by a team of Clinical Pharmacists, with the support of Pharmacy Technicians, and Clinical Quality RN’s that engage with plan members and their healthcare providers in a telephonic environment.
The Pharmacy Care Technician will report directly to the Senior Manager. The Pharmacy Care Technician will support Clinical Quality RN’s who perform telephonic, patient-centered clinical consults focused on CBP and A1C measures. The Pharmacy Care Technician will be required to meet or exceed established productivity and quality metrics and work to support the hours of operation of the business (Mon-Fri 9am-5:30pm local time zone).
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities
- Adheres to department’s metrics and established advanced protocols and to support Clinical Quality RN’s in handling patient telephonic outreach
- Make outbound calls while adhering to established protocols and scripting.
- Assist RN’s with patient assessments for CBP and A1C measures
- Assist Pharmacists with Medication Adherence outreach for MAC, MAD, MAH
- Assisting with appointment scheduling (A1c, Controlling Blood Pressure, Medication Adherence etc.)
- Communicate with providers and offices to obtain needed evidence of completed lab work, screenings and care provided
- Review available medical records for core measures to submit for closure of HEDIS/STARS measures
- Assist patients with identification of and connectivity to community and program resources to assist with non-medical needs
- Document thoroughly all calls and actions taken within core systems.
- Performs all other related 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 well as provide development for other roles you may be interested in.
Required Qualifications
- High School Diploma/GED (or higher)
- Active Pharmacy Technician licensure (RPhT) in the desired state of employment
- 1+ years of Pharmacy Technician experience
- Must have a designated secure and private workspace free of distraction and protecting HIPAA confidentiality among our members. No childcare is permitted during working hours
- Must have access to install secure high-speed internet via cable/DSL in home
Preferred Qualifications
- National Pharmacy Technician Certification (CPhT)
- Multi-lingual (Spanish, Mandarin, Cantonese, Russian, Vietnamese preferred)
- Associate or bachelor’s degree
- Call Center experience
- Advanced Certification(s)
- Experience delivering business goals with focus on CMS STARs, HEDIS
- Working knowledge of Microsoft Excel, Word, Visio
- Trained in health literacy
- Exceptional Punctuality and Timeliness
- Advanced organizational skills & attention for detail
- Ability to work in a rapidly changing environment
- 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
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