Pharmacy Care Coordinator – National Remote

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.   

The Clinical Excellence Quality (CEQ) Pharmacy Operations team supports Optum’s Care Delivery Organizations by delivering patient-centered, clinically collaborative medication consultations to help people live healthier lives. Our team focuses on the design, execution, and delivery of telephonic and digital engagement strategies designed to close Medicare star measure gaps in care. Our interdisciplinary service delivery team is comprised of Pharmacists, Registered Nurses (RNs), Pharmacy Technicians, and Care Coordinators.

The Pharmacy Care Coordinator will provide dedicated support to the Optum Care Quality Team. This position will be responsible for administrative support of members facing clinical outreach. This FTE will complete ~600 admin tasks/month. This position will provide support to the pharmacy staff (both clinical and non-clinical) 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 outreach calls.

You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Provides clerical and/or administrative support to clinical staff and managers for clinical programs
• Adheres to an assigned schedule and quality metrics
• Participate in and contribute to staff meetings and other staff development opportunities and interdepartmental work groups
• Identify areas of improvement where systems modifications could result in operational advancements and efficiencies
• Identifies problems and develops solutions to non-standard requests and problems
• Works with minimal guidance; seeks guidance on only the most complex tasks
• Provides explanations and information to others on difficult issues
• May serve as a Subject Matter Expert (SME) for other Pharmacy Care Coordinators on the Clinical Pharmacy Team
• Acts as a resource for others with less experience
• Other duties as assigned

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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 experience in administrative support
• 1+ years of experience in a customer service setting
• 6+ months of experience in a medical setting
• 6+ months of medical terminology knowledge base

Preferred Qualifications:

• Certified Pharmacy Technician (CPhT) 
• PBM experience 
• Advanced knowledge of NCPDP and other types of prescription drug claims 
•  Working knowledge of Medicare Part B and D coverage guidelines and payment methodologies / previous retail pharmacy experience 
• Previous call center experience
• Proficient with Microsoft Word, Excel, Outlook, PowerPoint
• Ability to work independently, as well as a member of a team, with some supervision and direction from the manager
• Ability to maintain strict confidentiality to include but not limited to patients and coworkers

Soft Skills:

• Excellent organizational skills, customer service skills, and verbal and written communication skills to include but not limited to patients, physicians, clinical staff, contracted providers and managers
• High degree of professionalism to always include both personal conduct and appearance 
• Comfortable working in a rapidly changing and highly matrixed environment
• Ability to manage multiple, concurrent projects
• Strong interpersonal skills

*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 the 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.

 

 

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