Senior Pharmacy Care 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.

Schedule: Monday to Friday, Between 8 AM-6 PM, 40 hours/wk (starting time flexible)

Location: Onsite - 19500 W Interstate 10, San Antonio, TX 78257

Primary Responsibilities: 

• May handle any escalated calls from members and assist them with their inquiries. Routes calls to appropriate department if necessary
• Provides support to internal staff, subcontractors and providers with respect to Medicare drug related issues
• Serve as a team lead for the Quality Pharmacy team and mentor new employees to the team as necessary
• May assist department trainer in putting together materials (job aids, screen shots, short video demonstrations, etc.) for reference within the Quality Pharmacy team
• Participates in and contributes to the overall pharmacy quality improvement initiatives
• Collects and maintains eligibility information in an appropriate and confidential manner
• Assist with new hire trainings
• Acts as point of contact for process/workflow related questions
• 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 members
• Requests additional or supplemental information via correspondence to complete application
• Adheres to assigned schedule and quality metrics
• Uses a multi-lined telephonic system to answer calls regarding pharmacy related quality metrics
• Performs all other related duties as assigned
• Support the definition of processes and policies and communicate the context in which processes and policies are applied
• Provide input on any process or documentation changes
• Complete any UAT testing on new applications
• Resolve issues relevant to the process within their area of expertise
• Complete Agent Call Audits
• Review and update SOPs
• Other duties as assigned

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
• National Pharmacy Technician Certification
• Active and unrestricted Pharmacy Technician license in the state of Texas
• 5+ years of experience in a pharmacy setting
• 1+ years of experience in your current role
• Intermediate level of knowledge of Medicare Part D, particularly the pharmacy record review, claims, billing and reimbursement rules
• Intermediate level of knowledge of HIPAA Privacy and Security Rules and CMS security requirements
• Intermediate level of proficiency with general writing skills and ability to produce work free from typographical or spelling errors
• Intermediate level of knowledge of Microsoft Office, Internet and e-mail

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 $20.38 to $36.44 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.

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