Pharmacy Care Coordinator – San Antonio, TX

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. 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 Coordinator 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, Building One, Floor Two, 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
• 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 participated in special committees as needed
• Performs other duties as assigned

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.)
• 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 as well as provide development for other roles you may be interested in.

Required Qualifications:

• High School Diploma/GED (or higher)
• 2+ years of customer service experience 
• 6+ months experience in a call center setting
• Basic level of proficiency with Microsoft Office products, including Word and Outlook

Preferred Qualifications:

• Certified Medical Assistant training or certification
• 2+ years of experience in a physician’s clinic or hospital
• 6+ months medical terminology knowledge base
• Bilingual language proficiency (English/Spanish)

Soft Skills: 

• Ability to work independently and maintain good judgment and accountability 
• Demonstrated ability to work well with health care providers 
• Strong organizational and time management skills 
• Ability to multi-task and prioritize tasks to meet all deadlines 
• Ability to work well under pressure in a fast-paced environment 
• Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others 

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.  

 

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.

 

 

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