Associate Pharmacy Care Coordinator

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.

This role provides critical administrative and operational support to the clinical component of the Department of Labor (DOL) contract. The Associate Pharmacy Care Coordinator ensures timely and accurate processing of clinical tasks, supports provider, client and claimant communications, provides internal clinician support and maintains high standards of documentation, data accuracy, and workflow efficiency.

Hours of Operation: Monday - Friday - 11 AM - 8 PM EST or 11:30 AM - 8 PM EST with a 30 minute or 1 hour lunch break

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

Primary Responsibilities:

• Assign incoming clinical files to appropriate clinicians and track progress using internal applications
• Monitor and process requests from multiple group email boxes, ensuring timely follow up and accurate documentation
• Complete all clinical services requests from clients in an efficient, timely, and professional manner
• Maintain accurate and up to date information across multiple internal operating systems, including Clinical360 and VitalPoint
• Respond to inquiries from prescribers, clients, claimants, and internal partners-such as Pharmacy Operations-via telephonic, email, and written correspondence
• Prepare, format, and distribute clinical reports to providers and claimants via fax and mail
• Compose clear, professional, and audience appropriate communications for both internal and external stakeholders
• Support pharmacists, nurses, physicians, adjusters, attorneys, and vendors through timely and accurate information exchange
• Ensure accuracy, consistency, and proper formatting in all reports, documents, and communications
• Maintain compliance with HIPAA and all applicable federal and state privacy regulations
• Assist with maintaining and updating Clinical SOPs, workflow documents, and reference materials
• Learn and become efficient with the use of multiple internal applications required for clinical operations
• Navigate and manage clinical data, case files, communications, and reporting within various systems
• Work with peers and colleagues on special projects and continuous process and quality improvement
• Assist with program enhancements and support initiatives that improve workflow efficiency and service quality
• Perform other duties as assigned to support operational needs or balance workload across the team
• Assumes additional responsibilities and performs special projects as needed or directed

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.)

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:

• 1+ years of Pharmacy Benefit Management experience
• Intermediate level of proficiency with Microsoft Outlook, Word, and Excel
• Ability and willingness to submit to and pass a Federal Background Check
• Must be 18 years of age OR older

Preferred Qualification:

• Knowledge of Worker's Comp
• Previous remote working experience

Soft Skills:

• Analytical skills and problem-solving abilities
• Excellent oral and written communication, organizational and interpersonal skills
• High degree of initiative and independent judgment
• Strong attention to detail
• Ability to prioritize tasks in order to consistently meet deadlines and engage in a variety of tasks simultaneously
• Ability to be flexible, and capable, of handling constant change and multiple new processes
• Ability to interact as a professional team member and collaborate with other healthcare professionals and business colleagues
• Ability to work both independently and within a team environment

*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 $16.15 to $28.80 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

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 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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