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Optum

Pharmacy Care Coordinator - National Remote

Posted An Hour Ago
Be an Early Applicant
In-Office or Remote
Hiring Remotely in Jeffersonville, IN
18-32 Hourly
Junior
In-Office or Remote
Hiring Remotely in Jeffersonville, IN
18-32 Hourly
Junior
Coordinates pharmacy care and client account services for assigned accounts. Responsibilities include researching claims and member inquiries, overseeing benefits investigations, prior authorizations, prescription processing and delivery scheduling, responding to client requests, supporting account retention, coordinating with internal teams, and escalating concerns. The role also participates in client calls, maintains service-level timelines, follows operational procedures, and supports team coverage and training.
The summary above was generated by AI
Requisition Number: 2385059
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. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm)
Optum Specialty Select Support Pharmacy Care Coordinator is a senior level position which is a hybrid of three critical components: Client Service Management, Pharmacy Operations, and Patient Care. Select Support takes a hands-on approach to patient care that makes a meaningful imprint on the health and quality of life of each patient by providing white-glove service to our patients and clients.
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
  • Build relationships with clients and sales team members and serves as the primary point of contact for overall and day-to-day service delivery for one or more accounts
  • Research pharmacy claims and member inquiries
  • Provide operational and administrative support to clients to help ensure superior account management with focus on client retention/satisfaction
  • Ability to prioritize workload and meet internal and client deliverable timelines
  • Actively participate on client calls, interdepartmental calls, and team meetings, as applicable
  • Oversee and operationally process all patient prescriptions from the designated client including benefits investigation, prior authorization completion, and prescription delivery scheduling
  • Collaborate with other departments outside of Select to meet all prescription processing oversight requirements when needed
  • Collaborate within Select to facilitate group coverage of team member clients when needed
  • Act as outward-facing, dedicated resource for assigned accounts, typically with direct client contact and large or complex accounts
  • Represent client internally and coordinates with Select management and Optum Sales team to implement client systems, honor provider communication preferences, and address ongoing service needs
  • Follow all policies and procedures related to job responsibilities and participating in the training of departmental policies and procedures, documentation, and tools for client management, as appropriate
  • Respond to client inquiries (via mailbox or task system) and assure all inquiries are directed and responded to within service level guarantees
  • Escalate client concerns when appropriate in a clear and effective manner

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 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
  • 1+ years of customer service experience
  • Intermediate level of proficiency with Microsoft Excel, Microsoft Word, Microsoft PowerPoint, and e-mail communication
  • Ability to work full-time with open availability between the hours of 7:00 AM - 7:00 PM CT

Preferred Qualifications:
  • Experience in pharmacy or healthcare
  • Specialty pharmacy experience
  • Leadership or management experience
  • Ability to obtain a Pharmacy Technician license, if required by state law
  • National Pharmacy Technician Certification (PTCB) current and in good standing

Soft Skills:
  • Strong computer skills with the ability to work in multiple processing systems throughout the day
  • Superior customer service skills
  • Strong verbal and written communication skills; ability to speak and write clearly and concisely to individuals or groups
  • Strong organizational skills
  • Ability to manage multiple concurrent tasks and prioritize to meet client expectations

*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 $18.00 to $32.00 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.
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, #GREEN

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