Care Ambassador – Remote in PST

Requisition Number: 2231337
Job Category: Customer Services
Primary Location: Las Vegas, NV
(Remote considered)

If you are located within Pacific Standard Time zone, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.

OptumRx is an empowering place for people with the flexibility to help create change. Innovation is part of the job description. And passion for improving the lives of our customers is a motivating factor in everything we do. 

If you’re ready to talk about groundbreaking interactions, let’s talk about what happens when a firm that touches millions of lives decides to gather results from millions of prescriptions every month and analyze their impact. Let’s talk about smart, motivated teams. Let’s talk about more effective and affordable healthcare solutions. This is caring. This is great chemistry. This is the way to make a difference. We’re doing all this, and more, through a greater dedication to our shared values of integrity, compassion, relationships, innovation, and performance.  Join us and start doing your life’s best work.SM

You will be working under Optum Frontier Therapies, a business serving patients with rare diseases, pharma manufacturers, and providers by dispensing and servicing therapies at the frontier of healthcare.  b is designed to specifically serve the unique needs of rare disease patient populations and support the emerging therapies, which require enhanced services and new capabilities over traditional specialty pharmacies.

The Care Ambassador in Optum Frontier Therapies will be on the team of an exciting new business serving patients with rare diseases, pharma manufacturers, and providers by dispensing and servicing therapies at the frontier of healthcare.  As a new Optum business, we are building on our strengths but also challenging the status quo. We are creating a business that is designed to specifically serve the unique needs of rare disease patient populations and support the emerging therapies, which require enhanced services and new capabilities over traditional specialty pharmacies. Our mission, ‘supporting people with compassion while creating access to therapies at the frontier of health care,’ and vision, ‘that all people, no matter how unique,  can access a better tomorrow’ are what drive and motivate us, as part of the larger UnitedHealth Group mission ‘to make the health system work better for everyone.’

The Care Ambassador will be responsible for responsible for acting as the Single Point of Contact (SPOC) for a portfolio of healthcare providers, customers, and patients.  The role is designed to provide solutions regarding product and program-related issues.  Additionally, drive patient adherence to therapies and is responsible for onboarding and welcoming the patient to Optum Frontier Therapies. The Care Ambassador develops and builds on long-term effective relationships with healthcare providers, affiliated staff, and support personnel. This role educates the patient, caregivers, and all those involved in a patient’s care plan on program services and solutions. Build trust in the program and long-term relationships.

As a Care Ambassador, you will serve patients, providers, pharmacy manufacturers and insurance carriers. You will work with a team of about 20 other Care Ambassadors where you will review daily plans of action for assignments, serve as a first point of contact for patient resolution, handle inbound calls as needed, support and communicate with a diverse patient population, make outbound calls to patient dispenses, triage calls, and attend meetings as needed. You will navigate about 14 programs daily in this position so computer proficiency is a must, as it the ability to handle multiple projects, multitask, prioritize your time, and remain self-motivated.

Success in this role is measured by a productivity ranking, timecard accuracy, an average answer speed of under 30 seconds call monitoring quality scores and meeting service level agreements of 85% or more for inbound and outbound calls.

This position is full-time, Monday – Friday. Employees are required to work our normal business hours of 8:00 am – 9:00 pm EST, specific shift is going to be 12:30 pm – 9:00 pm EST. 

We offer 8 weeks of training (6 week-long virtual classroom training followed by peer shadowing for 2 additional weeks during normal scheduled shift). The hours during training will be 12:30 pm – 9:00 pm EST, Monday – Friday. 

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy. 

Primary Responsibilities:

  • Serves as the Single Point of Contact (SPOC) for patient, caregivers, pharma, and providers .
  • React with a professional and empathetic demeanor when addressing physician office and patients complaints and concerns.
  • Identifies the most appropriate, efficient and effective means to streamline communication for healthcare providers with multiple patients in the program.
  • Thinks critically and strategically to identify and resolve roadblocks for customers in a proactive fashion.
  • Ensures Service Level Agreements are met by managing workflow and taking ownership of quality customer care.
  • Supports achievement of program satisfaction.
  • Develops and maintains productive and effective relationships with physicians, nurses, office managers, and other applicable customers.  Builds trust in and engagement with program services by proactively interacting and promptly following-up on inquiries.
  • Develops and implements tailored customer support plans, focusing on customer service solutions that improve patient outcomes
  • Maintains Customer Improvement focus and provides customers with unique, critical perspective on partnering with the program by laying out a vision for collaboration that positively grows relationship.
  • Manages inbound and outbound e-mail, phone calls, and faxes for customer service support and follow up.
  • Demonstrates an understanding of program operations process, the assigned product, and the patient journey.  Understands and supports internal processing functions and personnel.
  • Demonstrates an understanding of the disease state(s), competitors, and health care industry trends
  • Collaborates and works closely with management, colleagues, and other departments in the organization.
  • Demonstrates competency in using information technology, PCs and a variety of databases.
  • Ability to comprehend and manage any problems that may arise. Using problem solving skills to produce an appropriate resolution for physician offices and patients.
  • Contributes to the achievement of the goals, objectives, and outcomes of the program by demonstrating knowledge of product, disease state, and program information as it applies to the specific program.
  • Completes all appropriate training including, but not limited to New Hire Orientation, In-Services, internal training, client provided training and competency assessments.
  • Maintains patient confidentiality and accurate documentation of calls to and from all parties.
  • Adheres to all Company policies and standard operating procedures.
  • Completes special duties or projects as assigned by the Program Manager / Supervisor

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 equivalent work experience
  • 5+ years of case/account management, relationship management, customer support or professional customer service experience
  • Must be 18 years of age OR older
  • Ability to work full-time, Monday – Friday. Employees are required to work our normal business hours of 8:00am – 9:00pm EST, specific shift is going to be 12:30pm – 9:00pm EST.

Preferred Qualifications:

  • Valid license, registration and/or certification, in good standing, to practice as a Pharmacy Technician as required by the Board of Pharmacy in the state employed
  • Specialty Pharmacy experience
  • Pharmacy Accreditation experience
  • Previous work history working in a matrixed environment, call center, operations environment

Telecommuting Requirements:

  • Reside within Pacific Standard Time zone
  • Ability to keep all company sensitive documents secure (if applicable)
  • Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
  • Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.

Soft Skills:

  • Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
  • Ability to comprehend and apply principles of basic math while analyzing data and generating reports. 
  • Ability to apply principles of logical thinking to a wide range of intellectual and practical problems.
  • Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures

California, Nevada, or Washington Residents Only: The hourly range for this is $19.47 – $38.08 per hour. 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.

#RPO

Additional Job Detail Information

Requisition Number 2231337

Business Segment OptumRx

Employee Status Regular

Job Level Individual Contributor

Travel No

Country: US

Overtime Status Non-exempt

Schedule Full-time

Shift Day Job

Telecommuter Position Yes

Our Hiring Process

We want you to know what our hiring process looks like. Watch the video and find out what to expect along the way.

What It’s Like

Watch the video and hear how our employees describe what it’s like to work here in Customer Service.

Careers at Optum

If you want to use your abilities to help us challenge the status quo and achieve on our ambitious mission, this is the right place for you. We are creating and delivering quality health care solutions that deeply impact the health care system. And this means opportunities for people like you to grow and innovate with us.

Closing the GAP

Our team members help close the gap in health care. Take a closer look and see how Lisa helps members navigate a complex health care system.