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Senior Pharmacy Technician - Remote in Vermont,

Optum

Burlington (VT)

Remote

USD 35,000 - 55,000

Full time

30+ days ago

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Job summary

Join a forward-thinking organization dedicated to improving health outcomes! As a Pharmacy Technician in Prior Authorization, you'll provide essential support to members and providers, ensuring they receive the necessary medication authorizations. This role emphasizes customer service and accuracy, with opportunities for career growth in a diverse and inclusive environment. Enjoy a flexible work arrangement from your home in Vermont while making a significant impact on health equity. With competitive pay and comprehensive benefits, this is your chance to grow and make a difference in the communities we serve.

Benefits

Paid Time Off
Medical Plan Options
Dental and Vision Insurance
401(k) Savings Plan
Education Reimbursement
Employee Discounts
Flexible Work Arrangement
Employee Assistance Program
Employee Referral Bonus Program
Voluntary Benefits

Qualifications

  • High school diploma required; customer service experience preferred.
  • Proficient in using PC and navigating multiple systems.

Responsibilities

  • Handle inbound calls for prior authorizations, resolving formulary issues.
  • Process authorization requests accurately and efficiently.

Skills

Customer Service
Attention to Detail
Communication Skills
Problem-Solving

Education

High School Diploma or equivalent

Tools

PC Skills
Various Computer Systems

Job description

$1,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS

Realistic Job Preview video

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 essential functions of a Pharmacy Technician in Prior Authorization are providing expertise and customer service support to members, customers, and/or providers. This position exists to take incoming requests for prior authorizations, for formulary and non-formulary medications, while ensuring a high level of customer service and maximizing productivity. Requests can be received via fax or telephone, from providers' offices and pharmacists. The position provides clinical review for authorizations in keeping with legal and contractual requirements, including but not limited to turn around times (TATs) and service level agreements (SLAs). The technician must provide the information clearly, accurately and in a professional manner. Interactions with callers must be documented per contractual and various regulatory/legal requirements.

If you live in the state of Vermont you will enjoy the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

  • Primarily answering prior authorization with inbound calls (up to 50 to 70 calls per day) from providers/members as well as research and resolve formulary and benefit issues using the appropriate reference material.
  • Process authorizations through various computer systems and use of job aid/policies/procedures ensuring the accuracy of all data and updating as necessary.
  • Have sharp attention to detail, using established criteria and guidelines, the pharmacy technician receives and processes prior authorization requests made by providers and members for medications not inherently covered on a member's prescription drug plan.
  • Patient Safety and Quality of work is paramount and it’s important for employees to have a safe and secure workspace and communicate with their leadership when that safety (equipment, system, information) is compromised.
  • Resolve issues and complaints in a timely manner.
  • Performs other duties as assigned by management.
  • Handles inbound phone requests and gathers member data to provide information for pharmacist consultations.
  • Training is for 5 weeks. Training time is 8:00am-5:00pm local time. Monday- Friday. This training time is subject to change.
  • Shift after training is an 8-hour shift with an hour lunch. Candidate must be available as early as 5am and as late as midnight.
  • Candidate will work 5 days a week which may or may not include a weekend day(s).
  • There may be scheduled overtime and/or working on holidays dependent on business needs.
  • Candidate must have their own home internet access (internet can be hard wired with Ethernet cord).
  • Candidate must also have a secure workspace/office in their home.
  • Candidate must have level skill with working with PC (ex. using mouse and keyboard, accessing, and navigating through multiple systems and screens).
  • Excellent attendance is a must.

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 + Floating Holiday.
  • 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.
  • Flexible Work Arrangement.
  • 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

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