Senior Pharmacy PA/Appeals Technician

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

If you reside near Cheyenne, WY, you will enjoy the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:  

• Provide pharmacy claims and prior authorization support for customer inquiries received via the telephone and/or Internet. Customers include physician’s offices, pharmacies, and patients/caregivers
• The pharmacy technician must be able to assess the nature of the pharmacy claim issue or pharmacy related question and resolve claims adjudication problems while being professional, courteous, and efficient
• The technician must work together with pharmacists and account management team to gain understanding of the State of Wyoming Medicaid Preferred Drug List and Additional Therapeutic Criteria requirements
• Must be able to multi-task using multiple applications to provide accurate and responsive information to the provider inquiry
• Knowledge of both physician-administered medications and pharmacy claims processing is preferred. Training will be provided
• Must be proficient at time management and be able to work independently and collaboratively as part of a team

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:  

• Active and unrestricted Pharmacy Technician license in the state of Wyoming
• 2+ years of experience/knowledge of medications and pharmacy claims processing
• Must reside in the state of Wyoming

Preferred Qualifications:  

• 3+ years of Pharmacy Technician experience. Will consider prior work in an MD office or clinic, call center, or prescription insurance company
• Proven knowledge of Microsoft Office including use of online collaboration tools such as Teams
• Proven knowledge of claims adjudication

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

   

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.74 to $31.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 

   

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